Family Care Homes, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AL0223H Issued in AZ

Legal business name

FAMILY CARE HOMES, INC.

Practice address

1511 N Gilbert Rd
Mesa, AZ 85203-3902

Phone

(480) 827-1575

Fax

(480) 890-9092

NPI assigned

Mar 12, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Sue Story, BSW

Title

Owner/Administrator

Phone

(480) 827-1575

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1447525324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 N GILBERT RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852033902",
            "telephone_number": "480-827-1575",
            "fax_number": "480-890-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 N GILBERT RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852033902",
            "telephone_number": "480-827-1575",
            "fax_number": "480-890-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "STORY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "480-827-1575",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "AL0223H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427486",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Rae Faltinowski, PMHNP-BC
• Family Bridge
• Family Care Associates PC
• Family Care Center, LLC
• Family Care Dental, Inc.
• Family Dentistry LLC
• Family First Physicians PLLC
• Family Health Center of East Valley PLLC
• Family Health Medical Clinic LLC
• Family Home Health & Hospice LLC

• Adult Care Home Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Adult Care Home Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.