FMM Home Care Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

250000608 Issued in CA

Legal business name

FMM HOME CARE CORPORATION

Practice address

4649 Brockton Ave
Riverside, CA 92506-0131

Phone

(951) 924-7751

Fax

(951) 924-9042

NPI assigned

Mar 21, 2006

Organization subpart

Yes

Parent organization

FMM HOME CARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Ms. Dolores Dizon

Title

Billing Manager

Phone

(951) 924-7751

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bethany Home Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 557619

Legal name

FMM HOME CARE CORPORATION

Doing business as

BETHANY HOME CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 13, 1995

Last certification

Jul 20, 2017

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 15, 1995 in CA

Enrollment address

4649 Brockton Ave
Riverside, CA 92506-0131

Listed as

Bethany Home CareCCN 557619

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Nov 13, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Part of

FMM Home Care Corporation

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Elias F. Sanchez, M.D.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1508886672

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1487613147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4649 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060131",
            "telephone_number": "951-924-7751",
            "fax_number": "951-924-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4649 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060131",
            "telephone_number": "951-924-7751",
            "fax_number": "951-924-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMM HOME CARE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FMM HOME CARE CORPORATION",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "DIZON",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "951-924-7751",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "250000608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "557619",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Lynn Fluker, PCCI
• Emily Rian Flynn, LCSW
• Kaitlynn Flynn
• Olivia Flynn
• Todd Flynn, LCSW
• Triva Fobbs, MSW
• Linda Fodrey Barnes, IBCLC
• Amy Kay Foland, CRNA; RN
• Olamide Folarin
• Nancy Kimberly Foley, LMFT

• Home Health Agency in Riverside, CA
• Providers in Riverside, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.