Active NPI
Footprints Enterprises, Inc.
- In Home Supportive Care Agency
- Los Altos, CA
National Provider Identifier
1902573207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.