Organization Active NPI

In Home Care, Group, LLC

  • Home Health Agency
  • San Jose, CA
National Provider Identifier
1730459249
Registry record updated Dec 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IN HOME CARE, GROUP, LLC
Practice address
171 Iris Blossom CT
San Jose, CA 95123-2233
Phone
(408) 841-1339
NPI assigned
Dec 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2011

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

Authorized official

Name
Balronia P Schultz, REGISTERED
Title
Administrator
Phone
(408) 841-1339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

171 Iris Blossom CT
San Jose, CA 95123-2233

Mailing address

6830 Via del Oro Ste 106
San Jose, CA 95119-1353
Phone (408) 841-1339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130603000621 CA Part A Provider - Home Health Agency 6103064183 Practice locations: San Jose, CA

Home health agency certification: CCN 059720

Legal name
IN HOME CARE GROUP, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 30, 2016
Last certification
Feb 5, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 5, 2010 in CA
Enrollment address
6830 Via del Oro
Ste 106a
San Jose, CA 95119-1353
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
In Home Care Group, LLCCCN 059720
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jul 30, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

6830 Via del Oro
Ste 160
San Jose, CA 95119

6830 Via del Oro
Ste 106
San Jose, CA 95119

6830 Via del Oro
Ste 106A
San Jose, CA 95119
Phone (408) 226-3118

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Balronia P Schultz Individual 5% Or Greater Direct Ownership InterestAdministrative Designee/Assistan Dec 12, 2012 50%
Corporate Director Jan 7, 2013 50%
W-2 Managing EmployeeMember, Co-Administrator/Assista Jan 7, 2013 50%
Neil P Schultz Individual 5% Or Greater Direct Ownership InterestCeo, Consultative Dec 12, 2012 50%
Corporate OfficerCeo Jan 7, 2013 50%

Practitioners & affiliated clinicians

Affiliated clinicians 6

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

NPI Registry JSON

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

{
    "created_epoch": "1325289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325289600000",
    "number": "1730459249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 VIA DEL ORO STE 106",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191353",
            "telephone_number": "408-841-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 IRIS BLOSSOM CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951232233",
            "telephone_number": "408-841-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME CARE, GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-31",
        "last_updated": "2011-12-31",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "BALRONIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-841-1339",
        "authorized_official_credential": "REGISTERED"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.