Organization Active NPI

Home With US, LLC

  • In Home Supportive Care Agency
  • Lakeport, CA
National Provider Identifier
1518500172
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOME WITH US, LLC
Practice address
923 19TH St
Lakeport, CA 95453-3512
Phone
(707) 349-0971
Fax
(707) 263-6628
NPI assigned
Oct 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Ms. Kimberly Ann Boyd, LVN
Title
Owner
Phone
(707) 349-0971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

923 19TH St
Lakeport, CA 95453-3512

Mailing address

923 19TH St
Lakeport, CA 95453-3512
Phone (707) 349-0971

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1518500172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 19TH ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954533512",
            "telephone_number": "707-349-0971",
            "fax_number": "707-263-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 19TH ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954533512",
            "telephone_number": "707-349-0971",
            "fax_number": "707-263-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME WITH US, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-349-0971",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeport, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.