Organization Active NPI

Structured Family Home Care Inc

  • Home Health Agency
  • South Bend, IN
National Provider Identifier
1093543050
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STRUCTURED FAMILY HOME CARE INC
Practice address
1290 E Ireland Rd Ste V100-300
South Bend, IN 46614-3474
Phone
(574) 288-8800
Fax
(574) 288-7350
NPI assigned
Jul 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Nicholas Shrock
Title
Ceo
Phone
(574) 288-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1290 E Ireland Rd Ste V100-300
South Bend, IN 46614-3474

Mailing address

1290 E. Ireland Road
Suite V100-Box 300
South Bend, IN 46614
Phone (574) 288-8800

National Provider Directory

National Provider Directory

Locations

1290 E Ireland Rd
Ste V100300
South Bend, IN 46614
Phone (574) 288-8800

1290 E Ireland Rd
Ste V100BOX
South Bend, IN 46614

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1093543050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 E. IRELAND ROAD",
            "address_2": "SUITE V100-BOX 300",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46614",
            "telephone_number": "574-288-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 E IRELAND RD STE V100-300",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466143474",
            "telephone_number": "574-288-8800",
            "fax_number": "574-288-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRUCTURED FAMILY HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "SHROCK",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-288-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.