Family Affair Care Home,Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FAMILY AFFAIR CARE HOME,INC.

Practice address

3100 College Dr # 94066
San Bruno, CA 94066-1609

Phone

(415) 672-1599

Fax

(650) 729-1012

NPI assigned

Oct 12, 2023

Organization subpart

Yes

Parent organization

FAMILY AFFAIR HOME CAREAs reported in NPPES

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

Authorized official

Name

Hui C Leslie

Title

President

Phone

(415) 672-1599

Specialties & licenses 2

Addresses

Other names 1

• FAMILY AFFAIR CARE HOME Other name

Part of

Family Affair Care Homeinc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Family Affair Care Home,Inc.

  • Assisted Living Facility
  • San Bruno, CA
  • NPI 1255182184
  NPPES parent name

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1720869951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 COLLEGE DR",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940661609",
            "telephone_number": "415-672-1599",
            "fax_number": "650-729-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 COLLEGE DR # 94066",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940661609",
            "telephone_number": "415-672-1599",
            "fax_number": "650-729-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AFFAIR CARE HOME,INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY AFFAIR HOME CARE",
        "enumeration_date": "2023-10-12",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "HUI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-672-1599"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY AFFAIR CARE HOME",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FAMILY AFFAIR CARE HOME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maya Eydelman, DMD
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• Sayuri Falconer
• Family Affair Care Home,Inc.
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• Joyce Fancher, NP
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• Wendy Crocus Fang

• In Home Supportive Care Agency in San Bruno, CA
• Providers in San Bruno, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.