My Home Inc

LBN: My Home Inc
My Home Inc is an health care organization with primary practice located at 1639 Manzanita Avenue , Santa Rosa CA 95404. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. My Home Inc can be contacted via phone (707) 539-7435, or through Sandoval, Hortensia Marie via phone (707) 527-5744.

Contact Information

Primary practice address
1639 Manzanita Avenue Santa Rosa CA 95404
Phone: (707) 539-7435
Fax: (707) 539-7435
Website:
Map and Directions
Authorized official contact:
Name: Sandoval, Hortensia Marie
Phone: (707) 527-5744

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1770620734
LBN Legal business name My Home Inc
DBA Doing business as
Authorized official Sandoval, Hortensia Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770620734 NPPES
California MEDICAID LTC60758F

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