Active NPI
Family Home Care Inc
- Home Health Agency
- Rome, NY
National Provider Identifier
1386791325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01168721 | Medicaid | NY | |
| 01145784 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.