Organization Active NPI

Family Care LLC

  • In Home Supportive Care Agency
  • Salt Lake City, UT
National Provider Identifier
1356817167
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FAMILY CARE LLC
Practice address
2569 S Beagley Cir
Salt Lake City, UT 84128-5539
Phone
(385) 246-3996
NPI assigned
Oct 18, 2018
Last updated
Oct 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Authorized official

Name
Leaaepine Mataele
Title
Owner
Phone
(801) 644-1481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

2569 S Beagley Cir
Salt Lake City, UT 84128-5539

Mailing address

2569 S Beagley Cir
Salt Lake City, UT 84128-5539

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1356817167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2569 S BEAGLEY CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841285539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 S BEAGLEY CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841285539",
            "telephone_number": "385-246-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "MATAELE",
        "authorized_official_first_name": "LEAAEPINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-644-1481"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.