Active NPI
Ravenala Ventures LLC
- In Home Supportive Care Agency
- Santa Rosa, CA
National Provider Identifier
1902605918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- RAVENALA VENTURES LLC
- Practice address
- 1221 Farmers LN Ste a
Santa Rosa, CA 95405-6712 - Phone
- (707) 843-5192
- Fax
- (707) 978-2893
- NPI assigned
- Mar 11, 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
- Ms. Erica Celeste Carlisle, PHD
- Title
- Owner/Ceo
- Phone
- (415) 635-5624
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1221 Farmers LN Ste a
Santa Rosa, CA 95405-6712
Mailing address
9098 Broadway Ter
Oakland, CA 94611-1952
Phone (415) 635-5624
Other names 1
- Right at Home
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741651200000",
"number": "1902605918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9098 BROADWAY TER",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946111952",
"telephone_number": "415-635-5624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 FARMERS LN STE A",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954056712",
"telephone_number": "707-843-5192",
"fax_number": "707-978-2893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAVENALA VENTURES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-11",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A",
"authorized_official_last_name": "CARLISLE",
"authorized_official_first_name": "ERICA",
"authorized_official_middle_name": "CELESTE",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "415-635-5624",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Right at Home",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 11, 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.