Active NPI
Family Care Hospice & Home Health, Inc.
- Home Health Registered Nurse
- Santa Ana, CA
National Provider Identifier
1114794138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- Legal business name
- FAMILY CARE HOSPICE & HOME HEALTH, INC.
- Practice address
- 1415 E 17TH St Ste 220E
Santa Ana, CA 92705-8525 - Phone
- (714) 499-1701
- Fax
- (888) 365-4466
- NPI assigned
- Dec 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wilmer A Hernandez
- Title
- Authorized Official
- Phone
- (714) 499-1701
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | |||
| Home Health Registered Nurse | 163WH0200X | Primary | ||
| Home Health Agency | 251E00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Preferred Provider Organization | 305R00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Dialysis Equipment & Supplies (DME) | 332BD1200X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Physician Assistant | 363A00000X | |||
| Respite Care | 385H00000X | |||
| Prevention Professional | 405300000X |
Addresses
Primary practice location
1415 E 17TH St Ste 220E
Santa Ana, CA 92705-8525
Mailing address
1415 E 17TH St Ste 220E
Santa Ana, CA 92705-8525
Phone (714) 395-8502
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225805245 | Medicaid | CA | |
| 1558138362 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Family Care Hospice Home Health Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Registered Nurse
- Santa Ana, CA
- NPI 1225805245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714089600000",
"number": "1114794138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 E 17TH ST STE 220E",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927058525",
"telephone_number": "714-395-8502",
"fax_number": "888-365-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 E 17TH ST STE 220E",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927058525",
"telephone_number": "714-499-1701",
"fax_number": "888-365-4466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CARE HOSPICE & HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-11",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "WILMER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "714-499-1701"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225805245",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558138362",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
- Mikayla Danielle Falkow, AMFT, APCC
- Samantha Rose Fallon, BA
- Riva Joyce Falomir
- Sonya Faltas
- Crystal Fame, DO
- Family Care Hospice & Home Health, Inc.
- Family Medical Clinics of California, Inc
- Family Planning Associates Medical Group Inc
- Family Planning Associates Medical Group Inc
- Family Preservation Community Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.