Organization Active NPI

Family Matters in-Home Care, LLC

  • In Home Supportive Care Agency
  • Campbell, CA
National Provider Identifier
1922587781
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FAMILY MATTERS IN-HOME CARE, LLC
Practice address
2155 S Bascom Ave Ste 116
Campbell, CA 95008-3200
Phone
(408) 824-1021
Fax
(408) 516-9428
NPI assigned
Aug 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
David Ames
Title
Finance Associate
Phone
(408) 824-1021

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 434700005 CA
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X 434700005 CA

Addresses

Primary practice location

2155 S Bascom Ave Ste 116
Campbell, CA 95008-3200

Mailing address

2155 S Bascom Ave Ste 116
Campbell, CA 95008-3200
Phone (408) 824-1021

Other practice location 1

300 Harding Blvd Ste 101
Roseville, CA 95678-2471
Phone (916) 542-6674

Other practice location 2

100 E San Marcos Blvd
San Marcos, CA 92069-2986
Phone (760) 970-8305

Other identifiers 1

IdentifierTypeStateIssuer
434700005OtherCAHOME CARE ORGANIZATION

National Provider Directory

National Provider Directory

Locations

2155 S Bascom Ave
Ste 116
Campbell, CA 95008
Phone (408) 824-1021

300 Harding Blvd
Ste 101
Roseville, CA 95678
Phone (916) 542-6674

NPI Registry JSON

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

{
    "created_epoch": "1533945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1922587781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 S BASCOM AVE STE 116",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950083200",
            "telephone_number": "408-824-1021",
            "fax_number": "408-516-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 S BASCOM AVE STE 116",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950083200",
            "telephone_number": "408-824-1021",
            "fax_number": "408-516-9428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Harding Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956782471",
            "country_code": "US",
            "telephone_number": "916-542-6674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E San Marcos Blvd",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920692986",
            "country_code": "US",
            "telephone_number": "760-970-8305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY MATTERS IN-HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-11",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "AMES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "FINANCE ASSOCIATE",
        "authorized_official_telephone_number": "408-824-1021"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "434700005",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CA",
            "license": "434700005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE ORGANIZATION",
            "identifier": "434700005",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.