Organization Active NPI

Fiji Home Care LLC

  • Home Health Agency
  • Petaluma, CA
National Provider Identifier
1881372019
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jul 7, 2023

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.