Individual provider · Type 1 NPI
Pamela Johnson
Custodial Care Facility · Santa Rosa, CA
Practice location
6360 Old Redwood Hwy
Santa Rosa, CA 95403-1125
Fax (707) 838-0820
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Custodial Care Facility Primary | 311Z00000X | 4968013672 (CA) |
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…
About NPI 1619860020
Pamela Johnson's National Provider Identifier is 1619860020, issued on Jun 3, 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 Aug 29, 2025.