Formative Care, Inc.
NPI 1164897930 · Assisted Living Facility · Santa Rosa, CA
Formative Care, Inc. is a Assisted Living Facility organization in Santa Rosa, CA (NPI 1164897930).
Provider details
- NPI number
- 1164897930
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jordan Harding, Director(707) 579-2735
- License
- 496801719 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- The Belden House
Registry dates
- Enumerated
- 2015-12-04
- Last updated
- 2015-12-04
Frequently asked questions
- What is Formative Care, Inc.'s NPI number?
- Formative Care, Inc.'s National Provider Identifier (NPI) is 1164897930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Formative Care, Inc.?
- Formative Care, Inc. is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Formative Care, Inc. located?
- Formative Care, Inc.'s practice location on file with NPPES is 606 Humboldt St, Santa Rosa, CA 95404-4219.
- What is Formative Care, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Formative Care, Inc. is (707) 579-2735.
- Who is the authorized official for Formative Care, Inc.?
- The authorized official listed on Formative Care, Inc.'s NPPES record is Jordan Harding, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Formative Care, Inc.'s NPI active?
- Yes — Formative Care, Inc.'s NPI (1164897930) is active in the NPPES registry as of the last update on 2015-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.