Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Live Oak Rest Home

Organization Assisted Living Facility · NPI 1346958485

Live Oak Rest Home is an Assisted Living Facility in Sebastopol, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

604 Live Oak Ave
Sebastopol, CA 95472-3363
Phone: (707) 823-7277
Fax: (707) 823-5462
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Assisted Living Facility (Behavioral Disturbances) Taxonomy 3104A0630X

Record details

NPI number1346958485
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Ray — Licensee · (707) 514-6727
NPI enumeratedNovember 8, 2022
Last updated in NPPESNovember 8, 2022
Certification dateNovember 8, 2022
Mailing address604 Live Oak Ave, Sebastopol, CA 95472-3363

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