Provider Demographics
NPI:1720869951
Name:FAMILY AFFAIR CARE HOME,INC.
Entity Type:Organization
Organization Name:FAMILY AFFAIR CARE HOME,INC.
Other - Org Name:FAMILY AFFAIR CARE HOME
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HUI
Authorized Official - Middle Name:C
Authorized Official - Last Name:LESLIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-672-1599
Mailing Address - Street 1:3100 COLLEGE DR
Mailing Address - Street 2:
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066-1609
Mailing Address - Country:US
Mailing Address - Phone:415-672-1599
Mailing Address - Fax:650-729-1012
Practice Address - Street 1:3100 COLLEGE DR # 94066
Practice Address - Street 2:
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-1609
Practice Address - Country:US
Practice Address - Phone:415-672-1599
Practice Address - Fax:650-729-1012
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY AFFAIR HOME CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-12
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility