MY HOME INC
NPI 1770620734
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Santa Rosa, CA

Active since January 31, 2007
1639 MANZANITA AVENUE, SANTA ROSA, CA 95404(707) 539-7435(707) 539-7435 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About My Home Inc NPPES

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

MY HOME INC (NPI 1770620734) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Santa Rosa, California and active in the NPI registry since January 2007. The organization lists Hortensia Marie Sandoval, Bookkeeper, as its authorized official.

NPPES Registry Identity

NPI1770620734
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameMY HOME INC
Location Address1639 MANZANITA AVENUESanta Rosa, CA 95404
Mailing Address1983 Mt Olive DrSanta Rosa, CA 95404 · (707) 527-5744 · Fax (707) 527-5744
Fax(707) 539-7435
Organization SubpartNo
Authorized OfficialHortensia Marie SandovalBookkeeper · (707) 527-5744
Enumeration DateJanuary 31, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1770620734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
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.
1639 MANZANITA AVENUE, Santa Rosa, CA 95404

Other Identifiers 1

MedicaidLTC60758FCA

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 My Home Inc's NPI number?

The NPI number for My Home Inc is 1770620734. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is My Home Inc located?

My Home Inc is located at 1639 Manzanita Avenue, Santa Rosa, CA 95404. The listed phone number is (707) 539-7435.

What is My Home Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for My Home Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.