Organization Active NPI

Millicent LLC

  • Lodging Provider
  • Fairfield, CA
National Provider Identifier
1629906177
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
MILLICENT LLC
Practice address
2220 Santa Fe Dr
Fairfield, CA 94533-2243
Phone
(707) 246-8719
NPI assigned
May 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Janice Santiago Domingo
Title
Administrator
Phone
(707) 246-8719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X Primary

Addresses

Primary practice location

2220 Santa Fe Dr
Fairfield, CA 94533-2243

Mailing address

1605 Harrisburg LN
Suisun City, CA 94585-6335
Phone (707) 246-8719

Other names 1

  • millicent room and board Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1629906177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 HARRISBURG LN",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945856335",
            "telephone_number": "707-246-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 SANTA FE DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945332243",
            "telephone_number": "707-246-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLICENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "SANTIAGO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "707-246-8719"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "millicent room and board",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.