# PROVIDENCE IN HOME HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Providential Fijian Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114734191
- **Authorized official:** PITA TAUKEI (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (707) 239-8419

## Contact information

- **Practice address:** 131A STONY CIR STE 500, SANTA ROSA, CA 95401-9600
- **Practice address phone:** (415) 707-5602
- **Practice address fax:** (888) 285-5235
- **Mailing address:** 884 3RD ST STE D, SANTA ROSA, CA 95404-4567
- **Mailing address phone:** (415) 707-5602
- **Mailing address fax:** (888) 285-5235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 12/13/2024
- **Last updated:** 05/06/2025