Organization Active NPI

Family Homes Inc

Doing business as Crestview Icf DDN Home

  • Nursing Facility/Intermediate Care Facility
  • Belmont, CA
National Provider Identifier
1306902507
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
LTC80278F Issued in CA
Legal business name
FAMILY HOMES INC
Doing business as
Crestview Icf DDN Home
Practice address
503 Crest View Ave
Belmont, CA 94002-2456
Phone
(650) 591-1398
Fax
(650) 591-1398
NPI assigned
Dec 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Hermie V Yema, M.D
Title
Administrator
Phone
(650) 757-7725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X LTC80278F CA Primary

Addresses

Primary practice location

503 Crest View Ave
Belmont, CA 94002-2456

Mailing address

865 Alta Loma Dr
South San Francisco, CA 94080-2159
Phone (650) 757-7725

Other names 1

  • CRESTVIEW ICF DDN HOME Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306902507. Details of each certification follow.

  • CCN 55G313 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G313

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CRESTVIEW ICF/DDN HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jan 25, 2000
Last certification
Oct 16, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
503 Crest View Avenue
Belmont, CA 94002

National Provider Directory

National Provider Directory
Tax ID family
Family Homes Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306902507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 ALTA LOMA DR",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940802159",
            "telephone_number": "650-757-7725",
            "fax_number": "650-757-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 CREST VIEW AVE",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022456",
            "telephone_number": "650-591-1398",
            "fax_number": "650-591-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YEMA",
        "authorized_official_first_name": "HERMIE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "650-757-7725",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "LTC80278F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRESTVIEW ICF DDN HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belmont, CA

Sources for this page

Verify at the official NPI Registry.