Organization Active NPI

Maravillosa Senior and Home Care Agency LLC

  • In Home Supportive Care Agency
  • Antioch, CA
National Provider Identifier
1316851645
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MARAVILLOSA SENIOR AND HOME CARE AGENCY LLC
Practice address
3565 Markley Creek Dr
Antioch, CA 94509-6288
Phone
(415) 465-2077
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Florence Njonjo
Title
Ceo
Phone
(415) 465-2077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

3565 Markley Creek Dr
Antioch, CA 94509-6288

Mailing address

3565 Markley Creek Dr
Antioch, CA 94509-6288
Phone (415) 465-2077

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1316851645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 MARKLEY CREEK DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096288",
            "telephone_number": "415-465-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 MARKLEY CREEK DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096288",
            "telephone_number": "415-465-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARAVILLOSA SENIOR AND HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "NJONJO",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-465-2077"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.