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.

OrganizationActive

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

Practice location

1172 Wild Rose Dr

Santa Rosa, CA 95401-5058

Phone: (707) 291-5756

Fax: (707) 838-0820

Street-level locationGet directions

More CA providers

Mailing address

1172 Wild Rose Dr

Santa Rosa, CA 95401-5058

Specialties & taxonomies

Custodial Care FacilityPrimary311Z00000X
Nursing & Custodial Care Facilities

Other names (DBA / former)

Doing business as: Wild Rose Living

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr 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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions