NPIMap

Organization Active NPI

Family Home Care, LLC

  • In Home Supportive Care Agency
  • Marietta, GA
National Provider Identifier
1982935607
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
130439 Issued in GA
Legal business name
FAMILY HOME CARE, LLC
Practice address
1791 Silver Leaf CT
Marietta, GA 30008
Phone
(770) 437-0714
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Valentina Lebeau
Title
Ceo
Phone
(770) 437-0714

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X GA
In Home Supportive Care Agency 253Z00000X 130439 GA Primary
Private Vehicle 347C00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 130439 GA
Child Physical Disabilities Respite Care 385HR2065X 130439 GA

Addresses

Primary practice location

1791 Silver Leaf CT
Marietta, GA 30008

Mailing address

1791 Silver Leaf CT
Marietta, GA 30008
Phone (770) 437-0714

Other identifiers 1

IdentifierTypeStateIssuer
1982935607MedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982935607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 SILVER LEAF CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30008",
            "telephone_number": "770-437-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 SILVER LEAF CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30008",
            "telephone_number": "770-437-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEBEAU",
        "authorized_official_first_name": "VALENTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-437-0714",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "130439",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "GA",
            "license": "130439",
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "GA",
            "license": "130439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982935607",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.