Organization Active NPI

Footprints Enterprises, Inc.

  • In Home Supportive Care Agency
  • Los Altos, CA
National Provider Identifier
1902573207
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FOOTPRINTS ENTERPRISES, INC.
Practice address
4600 El Camino Real Ste 211
Los Altos, CA 94022-1328
Phone
(650) 600-8108
NPI assigned
Aug 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Authorized official

Name
Mr. David Hurd
Title
Executive Director
Phone
(408) 802-0355

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4600 El Camino Real Ste 211
Los Altos, CA 94022-1328

Mailing address

416 Casita CT
Los Altos, CA 94022-1736

Other names 1

  • Starlight Caregivers Doing business as

National Provider Directory

National Provider Directory

Locations

4600 El Camino Real
Ste 211
Los Altos, CA 94022
Phone (650) 559-7529

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1902573207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CASITA CT",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 EL CAMINO REAL STE 211",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221328",
            "telephone_number": "650-600-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINTS ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "HURD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "408-802-0355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starlight Caregivers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Starlight Caregivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.