Aidlife Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AIDLIFE HOME CARE, LLC

Practice address

700 E St Ste 102-3
San Rafael, CA 94901-2762

Phone

(707) 641-6006

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Liggayu, BSN-RN, PHN, PCCN

Title

Chief Operating Officer

Phone

(707) 515-8234

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1881433811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32663",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951522663",
            "telephone_number": "707-515-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E ST STE 102-3",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012762",
            "telephone_number": "707-641-6006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 S Almaden Blvd",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "95113",
            "country_code": "US",
            "telephone_number": "707-641-6006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "318 Valencia St",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945917611",
            "country_code": "US",
            "telephone_number": "707-641-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AIDLIFE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "LIGGAYU",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "707-515-8234",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSN-RN, PHN, PCCN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA HOME CARE SERVICES BRANCH",
            "identifier": "484700029",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sinead Aguilar Miramontes, LCSW, PPSC
• Diana Yvette Aguilar
• Seena Aguilar
• Stacey Ann Aguirre
• Omar Ahmed, PHARMD
• Sarah Tischler Aikin, M.A.
• Mary Elizabeth Air, M.D.
• Alia Al-Zand, LMFT, ALPCC
• Tarik Amer Alagha, MD
• Alan Brenner Kimelman MD Inc

• In Home Supportive Care Agency in San Rafael, CA
• Providers in San Rafael, 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 Sep 20, 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.