Active NPI
Millicent LLC
- Lodging Provider
- Fairfield, CA
National Provider Identifier
1629906177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.