Healthcare Provider Details

I. General information

NPI: 1790613917
Provider Name (Legal Business Name): NIGHTINGALE CARE HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5161 OAK MEADOW DR
SANTA ROSA CA
95401-5518
US

IV. Provider business mailing address

5161 OAK MEADOW DR
SANTA ROSA CA
95401-5518
US

V. Phone/Fax

Practice location:
  • Phone: 415-341-7649
  • Fax: 707-791-7588
Mailing address:
  • Phone: 415-341-7649
  • Fax: 707-791-7588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANNA KARINA PARANPAN BOTONES
Title or Position: OWNER/ADMINISTRATOR
Credential: RN
Phone: 415-341-7649