Active NPI
Fiji Home Care LLC
- Home Health Agency
- Petaluma, CA
National Provider Identifier
1881372019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- FIJI HOME CARE LLC
- Practice address
- 755 Baywood Dr Ste 200
Petaluma, CA 94954-5508 - Phone
- (707) 774-3634
- NPI assigned
- Jul 7, 2023
- 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
- Anne Marie Hurstel, LVN
- Title
- Director Assistant Admin
- Phone
- (707) 205-7802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
755 Baywood Dr Ste 200
Petaluma, CA 94954-5508
Mailing address
755 Baywood Dr Ste 200
Petaluma, CA 94954-5508
Phone (707) 774-3634
Other names 1
- Fiji Home Care
National Provider Directory
National Provider DirectoryLocations
755 Baywood Dr
Ste 200
Petaluma, CA 94954
Phone (707) 774-3634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688688000000",
"number": "1881372019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 BAYWOOD DR STE 200",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949545508",
"telephone_number": "707-774-3634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 BAYWOOD DR STE 200",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949545508",
"telephone_number": "707-774-3634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIJI HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-07",
"last_updated": "2023-07-07",
"certification_date": "2023-06-29",
"status": "A",
"authorized_official_last_name": "HURSTEL",
"authorized_official_first_name": "ANNE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "DIRECTOR ASSISTANT ADMIN",
"authorized_official_telephone_number": "707-205-7802",
"authorized_official_credential": "LVN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fiji Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.