Organization Active NPI

Family Home Care Inc

  • Home Health Agency
  • Rome, NY
National Provider Identifier
1386791325
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAMILY HOME CARE INC
Practice address
519 N Madison St
Rome, NY 13440-4133
Phone
(315) 336-3920
Fax
(315) 339-7270
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Mr. Randall Charles Brooke
Title
Corporate Treasurer
Phone
(315) 336-3920

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NY
Home Health Agency 251E00000X NY Primary
Home Health Agency 251E00000X NY

Addresses

Primary practice location

519 N Madison St
Rome, NY 13440-4133

Mailing address

519 N Madison St
Rome, NY 13440-4133
Phone (315) 336-3920

Other identifiers 2

IdentifierTypeStateIssuer
01168721MedicaidNY
01145784MedicaidNY

National Provider Directory

National Provider Directory

Locations

519 N Madison St
Rome, NY 13440
Phone (315) 336-3920

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1386791325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N MADISON ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134404133",
            "telephone_number": "315-336-3920",
            "fax_number": "315-339-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N MADISON ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134404133",
            "telephone_number": "315-336-3920",
            "fax_number": "315-339-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "BROOKE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CORPORATE TREASURER",
        "authorized_official_telephone_number": "315-336-3920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01168721",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01145784",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.