Healthcare Provider Details

I. General information

NPI: 1033067798
Provider Name (Legal Business Name): NORRIS FAMILY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12495 HEATHERTON CT APT 61
SAN DIEGO CA
92128-5142
US

IV. Provider business mailing address

12495 HEATHERTON CT APT 61
SAN DIEGO CA
92128-5142
US

V. Phone/Fax

Practice location:
  • Phone: 619-885-9127
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL NORRIS
Title or Position: CEO
Credential:
Phone: 619-885-9127