Active NPI
Family Home Care LLC
Doing business as Family Home Care
- In Home Supportive Care Agency
- Spokane Valley, WA
National Provider Identifier
1174911606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- IHS.FS.60333309
- Legal business name
- FAMILY HOME CARE LLC
- Doing business as
- Family Home Care
- Practice address
- 1716 N Union Rd
Spokane Valley, WA 99206-4834 - Phone
- (509) 473-4949
- Fax
- (509) 921-0527
- NPI assigned
- Jan 6, 2015
- 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
- Mr. Jeffrey Wiberg
- Title
- Ceo
- Phone
- (509) 755-4954
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | IHS.FS.60333309 | WA | |
| In Home Supportive Care Agency | 253Z00000X | IHS.FS.60333309 | WA | Primary |
Addresses
Primary practice location
1716 N Union Rd
Spokane Valley, WA 99206-4834
Mailing address
22820 E Appleway Ave Ste B
Liberty Lake, WA 99019-9514
Phone (509) 795-5501
Other names 1
- Family Home Care
National Provider Directory
National Provider DirectoryLocations
22820 E Appleway Ave
Ste B
Liberty Lake, WA 99019
1716 N Union Rd
Spokane Valley, WA 99206
Phone (509) 473-4949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487808000000",
"number": "1174911606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22820 E APPLEWAY AVE STE B",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990199514",
"telephone_number": "509-795-5501",
"fax_number": "509-755-4974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 N UNION RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992064834",
"telephone_number": "509-473-4949",
"fax_number": "509-921-0527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-06",
"last_updated": "2017-02-23",
"status": "A",
"authorized_official_last_name": "WIBERG",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "509-755-4954",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WA",
"license": "IHS.FS.60333309",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "WA",
"license": "IHS.FS.60333309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.