Organization Active NPI

Extended Family Care LLC

  • In Home Supportive Care Agency
  • Vacaville, CA
National Provider Identifier
1841079100
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EXTENDED FAMILY CARE LLC
Doing business as
Extended Family Care
Extended Family Care LLC
Practice address
1671 E Monte Vista Ave Ste 211
Vacaville, CA 95688-3126
Phone
(707) 317-1282
Fax
(707) 632-4297
NPI assigned
Sep 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Mr. Paulo Rosario
Title
Senior in-Home Care Director
Phone
(707) 344-3430

Specialties & licenses 1

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

Addresses

Primary practice location

1671 E Monte Vista Ave Ste 211
Vacaville, CA 95688-3126

Mailing address

1671 E Monte Vista Ave Ste 211
Vacaville, CA 95688-3126
Phone (707) 317-1282

Other names 2

  • Extended Family Care Doing business as
  • Extended Family Care LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1671 E Monte Vista Ave
Ste 211
Vacaville, CA 95688
Phone (707) 317-1282

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1841079100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 E MONTE VISTA AVE STE 211",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883126",
            "telephone_number": "707-317-1282",
            "fax_number": "707-632-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 E MONTE VISTA AVE STE 211",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883126",
            "telephone_number": "707-317-1282",
            "fax_number": "707-632-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "ROSARIO",
        "authorized_official_first_name": "PAULO",
        "authorized_official_title_or_position": "SENIOR IN-HOME CARE DIRECTOR",
        "authorized_official_telephone_number": "707-344-3430",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extended Family Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Extended Family Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.