Healthcare Provider Details

I. General information

NPI: 1851229801
Provider Name (Legal Business Name): CARING A LIFE HOME CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 NEOTOMAS AVE FL 2
SANTA ROSA CA
95405-7533
US

IV. Provider business mailing address

1410 NEOTOMAS AVE FL 2
SANTA ROSA CA
95405-7533
US

V. Phone/Fax

Practice location:
  • Phone: 415-608-6173
  • Fax:
Mailing address:
  • Phone: 415-608-6173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: UNAISI TIKOIBUA VAKACEREIVALU
Title or Position: OWNER
Credential:
Phone: 415-608-6173