Active NPI
Mojo Home Care LLC
- In Home Supportive Care Agency
- Santa Rosa, CA
National Provider Identifier
1891591921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MOJO HOME CARE LLC
- Practice address
- 1421 Guerneville Rd Ste 200
Santa Rosa, CA 95403-7238 - Phone
- (707) 512-4295
- NPI assigned
- Feb 20, 2025
- 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
- Mr. Henry Mukasa
- Title
- Director
- Phone
- (510) 230-3865
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1421 Guerneville Rd Ste 200
Santa Rosa, CA 95403-7238
Mailing address
1421 Guerneville Rd Ste 200
Santa Rosa, CA 95403-7238
Phone (707) 512-4295
National Provider Directory
National Provider DirectoryLocations
1421 Guerneville Rd
Ste 200
Santa Rosa, CA 95403
Phone (707) 512-4295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740009600000",
"number": "1891591921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 GUERNEVILLE RD STE 200",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954037238",
"telephone_number": "707-512-4295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 GUERNEVILLE RD STE 200",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954037238",
"telephone_number": "707-512-4295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOJO HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-20",
"last_updated": "2025-02-20",
"certification_date": "2025-02-13",
"status": "A",
"authorized_official_last_name": "MUKASA",
"authorized_official_first_name": "HENRY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "510-230-3865",
"authorized_official_name_prefix": "Mr."
},
"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 Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.