Organization Active NPI

Ravenala Ventures LLC

  • In Home Supportive Care Agency
  • Santa Rosa, CA
National Provider Identifier
1902605918
Registry record updated Mar 11, 2025
On this page

Key facts

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

Updated by the provider on Mar 11, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.