Provider Demographics
NPI:1902495021
Name:NAPA-SONOMA QUALITY CARE HOME, LLC
Entity Type:Organization
Organization Name:NAPA-SONOMA QUALITY CARE HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RYANNE
Authorized Official - Middle Name:MAGBAG
Authorized Official - Last Name:TAPNIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-595-3766
Mailing Address - Street 1:4990 FILAMENT ST
Mailing Address - Street 2:
Mailing Address - City:ROHNERT PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94928-1347
Mailing Address - Country:US
Mailing Address - Phone:707-862-6952
Mailing Address - Fax:707-843-5314
Practice Address - Street 1:4990 FILAMENT ST
Practice Address - Street 2:
Practice Address - City:ROHNERT PARK
Practice Address - State:CA
Practice Address - Zip Code:94928-1347
Practice Address - Country:US
Practice Address - Phone:707-862-6952
Practice Address - Fax:707-843-5314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home