Porcini LLC Wild Rose Living
NPI 1538048962ActiveOrganization· Custodial Care Facility· Santa Rosa, CA
Custodial Care Facility in Santa Rosa, California, registered in NPPES in August 2025. The authorized official on file is Pamela Johnson, Managing Member/Administrator.
Overview
| NPI | 1538048962 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 29, 2025 |
| Last updated in NPPES | Nov 20, 2025 |
| Certified by provider | Nov 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Custodial Care Facility Primary | 311Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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