Porcini LLC Wild Rose Living
NPI 1538048962 · Custodial Care Facility · Santa Rosa, CA
Porcini LLC Wild Rose Living is a Custodial Care Facility organization in Santa Rosa, CA (NPI 1538048962).
Provider details
- NPI number
- 1538048962
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Pamela Johnson, Managing Member/Administrator(707) 291-5756
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
Under 1 yr in 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
- Wild Rose Living
Registry dates
- Enumerated
- 2025-08-29
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Frequently asked questions
- What is Porcini LLC Wild Rose Living's NPI number?
- Porcini LLC Wild Rose Living's National Provider Identifier (NPI) is 1538048962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Porcini LLC Wild Rose Living?
- Porcini LLC Wild Rose Living is classified in the NPPES registry as Custodial Care Facility (Nursing & Custodial Care Facilities).
- Where is Porcini LLC Wild Rose Living located?
- Porcini LLC Wild Rose Living's practice location on file with NPPES is 1172 Wild Rose Dr, Santa Rosa, CA 95401-5058.
- What is Porcini LLC Wild Rose Living's phone number?
- The practice phone number listed in the NPPES registry for Porcini LLC Wild Rose Living is (707) 291-5756.
- Who is the authorized official for Porcini LLC Wild Rose Living?
- The authorized official listed on Porcini LLC Wild Rose Living's NPPES record is Pamela Johnson, Managing Member/Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Porcini LLC Wild Rose Living's NPI active?
- Yes — Porcini LLC Wild Rose Living's NPI (1538048962) is active in the NPPES registry as of the last update on 2025-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.