Active NPI
In Home Care, Group, LLC
- Home Health Agency
- San Jose, CA
National Provider Identifier
1730459249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- Oct 5, 2010 in CA
- Enrollment address
- 6830 Via del Oro
Ste 106a
San Jose, CA 95119-1353
Care Compare: Home health agency
Medicare Care Compare- Listed as
- In Home Care Group, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 30, 2016
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Balronia P Schultz | 5% Or Greater Direct Ownership Interest | Dec 12, 2012 | 50% |
| Corporate Director | Jan 7, 2013 | 50% | |
| W-2 Managing Employee | Jan 7, 2013 | 50% | |
| Neil P Schultz | 5% Or Greater Direct Ownership Interest | Dec 12, 2012 | 50% |
| Corporate Officer | Jan 7, 2013 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Orthopaedic Surgery Physician
- Los Altos, CA
- NPI 1083725659
Home health agency
-
- Family Medicine Physician
- Mountain View, CA
- NPI 1568453264
Home health agency
-
- Orthopaedic Surgery Physician
- Mountain View, CA
- NPI 1457675209
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2011; 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.