MEDICARE: FAMILY LOVE HOMECARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1952065062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY LOVE HOMECARE

Provider Business Mailing Address
First Line	:	1068 EDENBURY LN
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95136-1416
Country	:	US
Telephone Number	:	408-757-9466
Fax Number	:

Provider Business Practice Location Address
First Line	:	1068 EDENBURY LN
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95136-1416
Country	:	US
Telephone Number	:	408-757-9466
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FANE WILLIAMS
Credential	:
Telephone Number	:	408-757-9466

Provider Enumeration Date	:	10/25/2021
Last Update Date	:	01/21/2026

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Directions to “FAMILY LOVE HOMECARE ” Practice Location

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