Organization Active NPI

Family Home Care LLC

Doing business as Family Home Care

  • In Home Supportive Care Agency
  • Spokane Valley, WA
National Provider Identifier
1174911606
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
IHS.FS.60333309 Issued in WA
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

Updated by the provider on Feb 23, 2017

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.