Henry Rafferty
Day Training/Habilitation Specialist in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1891669990
StatusActive
Last updated in NPPESAug 28, 2026
Details
- NPI
- 1891669990
- Entity type
- Individual (NPI-1)
- Name
- Henry Rafferty
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2025
- Certification date
- Aug 28, 2026
- Last updated
- Aug 28, 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 |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | 28436 | – | Yes |
Practice location
2227 Capricorn Way Ste 210Santa Rosa, CA 95407-5486
Phone 707-656-4868
Mailing address
2227 Capricorn Way Ste 210Santa Rosa, CA 95407-5486
Phone 707-656-4868
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 213 Day Training/Habilitation Specialist providers in Santa Rosa · All 8,142 providers in Santa Rosa
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