County Of Sonoma
Community/Behavioral Health in Santa Rosa, CA. Organization (NPI-2).
NPI number1174477913
StatusActive
Last updated in NPPESMar 4, 2026
Details
- NPI
- 1174477913
- Entity type
- Organization (NPI-2)
- Legal business name
- County Of Sonoma
- Organization subpart
- Yes
- Enumeration date
- Feb 26, 2026
- Certification date
- Mar 4, 2026
- Last updated
- Mar 4, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Eliza'S Village (Other Name)
Practice location
538 Eliza WaySanta Rosa, CA 95409-6560
Phone 707-565-4700
Mailing address
1450 Neotomas Ave Ste 200Santa Rosa, CA 95405-7574
Phone 707-565-4700
Authorized official
Sean Barker
Aso-1
7075652637
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 46 Community/Behavioral Health Agency providers in Santa Rosa · All 8,142 providers in Santa Rosa
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