MY HOME INC – NPI #1770620734
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

MY HOME INC is a residential treatment facility located in SANTA ROSA, CA. NPPES has assigned the NPI number 1770620734 to MY HOME INC on January 31, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MY HOME INC below.

NPI Profile for
MY HOME INC

NPI Number
1770620734
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MY HOME INC
Primary location
1639 MANZANITA AVENUE
SANTA ROSA, CA 95404
Phone: (707) 539-7435 Fax: (707) 539-7435
Mailing address
1983 MT OLIVE DR
SANTA ROSA, CA 95404
Phone: (707) 527-5744 Fax: (707) 527-5744
Organization Subpart
No
Authorized Official
HORTENSIA SANDOVAL
BOOKKEEPER
Phone: (707) 527-5744
Updated
Identifiers

Identifiers for MY HOME INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCALTC60758F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.