FAMILY CARE HOMES, INC. (NPI# 1447525324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447525324 |
| Entity Type | Organization |
| Organization Name | FAMILY CARE HOMES, INC. |
| Practice Address |
1511 N Gilbert Rd Mesa AZ 85203-3902 |
| Practice Telephone | 4808271575 |
| Practice Fax Number | 4808909092 |
| Mailing Telephone | 4808271575 |
| Mailing Fax Number | 4808909092 |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |
| Authorized Official Name | MRS. JENNIFER SUE STORY (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 4808271575 |
| Authorized Official Credential | BSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AL0223H | AZ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 427486 | 05 |
| Street Address |
1511 N GILBERT RD |
| City | MESA |
| State | AZ |
| Zip Code | 85203-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
| 1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
| 1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
| 1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
| Find all providers in zip 85203 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728581 | Michael Ford | Custodial Care Facility | 10462 E Abilene Ave, Mesa, AZ 85208-8717 | 2020-04-14 |
| 1366977506 | Woodward Foundation for The Disabled | Custodial Care Facility | 33 S Sycamore, Suite 1, Mesa, AZ 85202-1150 | 2017-04-25 |
| 1275071433 | Anderson Assisted Living Homes, LLC | Custodial Care Facility | 9831 E Broadway Rd, Mesa, AZ 85208-2505 | 2017-02-08 |
| 1114296332 | Life Sonoran Homnes | Custodial Care Facility | 2036 E Calle Maderas, Mesa, AZ 85213-2910 | 2011-12-16 |
| 1174815302 | Better Living Carehome LLC | Custodial Care Facility | 9321 E Carmel Ave, Mesa, AZ 85208-5834 | 2011-05-05 |
| 1003081860 | M E D Services | Custodial Care Facility | 3759 E Clovis Ave, Mesa, AZ 85206-1841 | 2008-04-23 |
| 1609041458 | M E D Services | Custodial Care Facility | 3065 S Canfield Cir, Mesa, AZ 85212 | 2008-04-23 |
| 1154511202 | Third Street Home | Custodial Care Facility | 1053 E 3rd St, Mesa, AZ 85203-8001 | 2007-07-25 |
| 1730382862 | Lauras Assisted Living | Custodial Care Facility | 1338 W Lobo Ave, Mesa, AZ 85202-6651 | 2007-06-06 |
| 1194861716 | Pavilion Guest Home | Custodial Care Facility | 2955 E Mallory St, Mesa, AZ 85213-1667 | 2007-01-30 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.