OrganizationActive
My Home Inc
NPI 1770620734 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Santa Rosa, CA
Provider details
- NPI number
- 1770620734
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Hortensia Sandoval, Bookkeeper(707) 527-5744
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 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
1639 Manzanita Avenue
Santa Rosa, CA 95404
Phone: (707) 539-7435
Fax: (707) 539-7435
Street-level locationGet directions
Mailing address
1983 Mt Olive Dr
Santa Rosa, CA 95404
Registry dates
- Enumerated
- 2007-01-31
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.