Provider Demographics
NPI:1922587781
Name:FAMILY MATTERS IN-HOME CARE, LLC
Entity Type:Organization
Organization Name:FAMILY MATTERS IN-HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE ASSOCIATE
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:AMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-824-1021
Mailing Address - Street 1:2155 S BASCOM AVE STE 116
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-3200
Mailing Address - Country:US
Mailing Address - Phone:408-824-1021
Mailing Address - Fax:408-516-9428
Practice Address - Street 1:2155 S BASCOM AVE STE 116
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-3200
Practice Address - Country:US
Practice Address - Phone:408-824-1021
Practice Address - Fax:408-516-9428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-11
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA434700005251E00000X, 385H00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA434700005OtherHOME CARE ORGANIZATION