Organization · Type 2 NPI

Porcini LLC Wild Rose Living

Custodial Care Facility · Santa Rosa, CA

NPI number 1538048962 Active

Practice location

1172 Wild Rose Dr
Santa Rosa, CA 95401-5058

Fax (707) 838-0820

Specialties and licenses

TaxonomyCodeLicense
Custodial Care Facility Primary 311Z00000XNone listed

Custodial Care Facility: A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or pa…

Other custodial care facility providers in Santa Rosa

See all in Santa Rosa →

About NPI 1538048962

Porcini LLC Wild Rose Living's National Provider Identifier is 1538048962, issued on Aug 29, 2025. The primary taxonomy on file is Custodial Care Facility (311Z00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Nov 20, 2025.