NPIMap

Organization Active NPI

Famos Care

  • Community/Behavioral Health Agency
  • Laveen, AZ
National Provider Identifier
1316785538
Registry record updated Jul 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMOS CARE
Practice address
4633 W Valencia Dr
Laveen, AZ 85339-2366
Phone
(818) 384-2001
NPI assigned
Jul 20, 2024
Last updated
Jul 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMOS CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2024

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

Authorized official

Name
Julius Kabukuru
Title
Administrator
Phone
(818) 384-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4633 W Valencia Dr
Laveen, AZ 85339-2366

Mailing address

4633 W Valencia Dr
Laveen, AZ 85339-2366

National Provider Directory

National Provider Directory
Part of
Famos Care

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721433600000",
    "number": "1316785538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 W VALENCIA DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 W VALENCIA DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392366",
            "telephone_number": "818-384-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMOS CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMOS CARE LLC",
        "enumeration_date": "2024-07-20",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A",
        "authorized_official_last_name": "KABUKURU",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-384-2001"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.