1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Custodial Care Facility
  6. NPI Profile

PORCINI LLC WILD ROSE LIVING
NPI 1538048962
Custodial Care Facility in Santa Rosa, CA

Active since August 29, 2025
1172 WILD ROSE DR, SANTA ROSA, CA 95401(707) 291-5756(707) 838-0820 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Porcini Llc Wild Rose Living NPPES

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

PORCINI LLC WILD ROSE LIVING (NPI 1538048962), doing business as Wild Rose Living, is a healthcare organization registered as a custodial care facility in Santa Rosa, California and active in the NPI registry since August 2025. The organization lists Pamela Johnson, Managing Member/administrator, as its authorized official.

NPPES Registry Identity

NPI1538048962
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NamePORCINI LLC WILD ROSE LIVING
Location Address1172 WILD ROSE DRSanta Rosa, CA 95401-5058
Mailing Address1172 Wild Rose DrSanta Rosa, CA 95401-5058 · (707) 291-5756 · Fax (707) 838-0820
Phone(707) 291-5756
Fax(707) 838-0820
Organization SubpartNo
Authorized OfficialPamela JohnsonManaging Member/administrator · (707) 291-5756
Enumeration DateAugust 29, 2025
Last NPPES UpdateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
✔ NPI 1538048962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
1172 WILD ROSE DR, Santa Rosa, CA 95401
Open in Google Maps ↗

Other Names 1

Doing Business AsWild Rose Living

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 Porcini LLC Wild Rose Living's NPI number?

The NPI number for Porcini LLC Wild Rose Living is 1538048962. It was assigned to this organization in the NPPES registry on August 29, 2025. The provider is doing business as Wild Rose Living.

Where is Porcini LLC Wild Rose Living located?

Porcini LLC Wild Rose Living is located at 1172 Wild Rose Dr, Santa Rosa, CA 95401. The listed phone number is (707) 291-5756.

What is Porcini LLC Wild Rose Living's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

When was this NPI record last updated?

The NPPES record for Porcini LLC Wild Rose Living was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.