Organization Active NPI

Mojo Home Care LLC

  • In Home Supportive Care Agency
  • Santa Rosa, CA
National Provider Identifier
1891591921
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Feb 20, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.