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Oak Tree Ranch Senior Assisted Living

NPI 1912886342ActiveOrganization· 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, Owner/Administrator.

Overview

NPI1912886342
StatusActive
Entity typeOrganization
NPI issuedAug 29, 2025
Last updated in NPPESAug 29, 2025
Certified by providerAug 29, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Custodial Care Facility Primary311Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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