OrganizationActive
Fortuna Assisted Living LLC
NPI 1497973002 · Assisted Living Facility · Fortuna, CA
Provider details
- NPI number
- 1497973002
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jon Harder, Manager(503) 375-9016
- License
- 126801582 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2401 Redwood Way
Fortuna, CA 95540-3058
Phone: (707) 726-0111
Fax: (503) 485-1279
Street-level locationGet directions
Mailing address
Po Box 3006
Salem, OR 97302-0006
Other names (DBA / former)
- Doing business as
- Sequoia Springs Assisted Living Community
Registry dates
- Enumerated
- 2007-04-22
- Last updated
- 2008-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.