Organization Active NPI

Fiji Prime in-Home Care

  • In Home Supportive Care Agency
  • Santa Rosa, CA
National Provider Identifier
1649045733
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FIJI PRIME IN-HOME CARE
Practice address
725 Farmers LN Ste 6
Santa Rosa, CA 95405-6742
Phone
(707) 889-9505
Fax
(707) 852-2113
NPI assigned
Nov 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Ms. Titilia LeduaNPI 1235901323
Title
Owner
Phone
(707) 889-9505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

725 Farmers LN Ste 6
Santa Rosa, CA 95405-6742

Mailing address

725 Farmers LN Ste 6
Santa Rosa, CA 95405-6742
Phone (707) 889-9505

National Provider Directory

National Provider Directory

Locations

725 Farmers Ln
Ste 6
Santa Rosa, CA 95405
Phone (707) 889-9505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1649045733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 FARMERS LN STE 6",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056742",
            "telephone_number": "707-889-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 FARMERS LN STE 6",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056742",
            "telephone_number": "707-889-9505",
            "fax_number": "707-852-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIJI PRIME IN-HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "LEDUA",
        "authorized_official_first_name": "TITILIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-889-9505",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.