Organization Active NPI

Family Crest Homes LLC

  • Adult Care Home Facility
  • Medford, OR
National Provider Identifier
1417822958
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
FAMILY CREST HOMES LLC
Practice address
2932 Hillcrest Rd
Medford, OR 97504-7752
Phone
(541) 646-8609
NPI assigned
Oct 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Brittany M Clark
Title
Owner/Provider
Phone
(541) 646-8609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

2932 Hillcrest Rd
Medford, OR 97504-7752

Mailing address

1281 Ashford Way Apt 4
Medford, OR 97504-9170
Phone (541) 646-8609

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1417822958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 ASHFORD WAY APT 4",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049170",
            "telephone_number": "541-646-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 HILLCREST RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047752",
            "telephone_number": "541-646-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CREST HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "541-646-8609"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.