THE BELDEN HOUSE
NPI 1164897930
Assisted Living Facility in Santa Rosa, CA

Q: What is Formative Care, Inc.'s NPI number?

The NPI number for Formative Care, Inc. is 1164897930. It was assigned to this organization in the NPPES registry on December 4, 2015. The provider is doing business as The Belden House.

Q: What is Formative Care, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since December 04, 2015

606 HUMBOLDT ST, SANTA ROSA, CA 95404(707) 579-2735(707) 579-4145 Get Directions Write a Review

NPPES record last updated: December 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About The Belden House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE BELDEN HOUSE (NPI 1164897930) is a healthcare organization registered as an assisted living facility in Santa Rosa, California and active in the NPI registry since December 2015. The organization lists Jordan Harding, Director, as its authorized official.

NPPES Registry Identity

NPI1164897930

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameFORMATIVE CARE, INC.

Location Address606 HUMBOLDT STSanta Rosa, CA 95404-4219

Mailing Address606 Humboldt StSanta Rosa, CA 95404-4219 · (707) 579-2735 · Fax (707) 579-4145

Phone(707) 579-2735

Fax(707) 579-4145

Organization SubpartNo

Authorized OfficialJordan HardingDirector · (707) 579-2735

Enumeration DateDecember 4, 2015

✔ NPI 1164897930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in CA · 496801719

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

606 HUMBOLDT ST, Santa Rosa, CA 95404

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Other Names 1

Doing Business AsThe Belden House

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Formative Care, Inc.'s NPI number?

The NPI number for Formative Care, Inc. is 1164897930. It was assigned to this organization in the NPPES registry on December 4, 2015. The provider is doing business as The Belden House.

Where is Formative Care, Inc. located?

Formative Care, Inc. is located at 606 Humboldt St, Santa Rosa, CA 95404. The listed phone number is (707) 579-2735.

What is Formative Care, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Formative Care, Inc. was last updated on December 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.