Proteins are known to modulate the physical properties of minerals, and thus we anticipate that they will strongly influence the structure and the biological properties of biomimetically prepared carbonate-containing hydroxyapatite. This study was designed to learn more about the main morphological characteristics of hydroxyapatite layer grown on different substrates coated with an extracellular matrix, a biological matrix that was produced by cultured osteoblast-like cells. The hydroxyapatite growth was carried out in a simulated body fluid, a solution that resembles the human blood plasma. It was found that the extracellular matrix may serve as a template for the mineralization of biomimetic hydroxyapatite on the surface of materials like stainless steel, silicon, and silica glass, leading to the formation of a homogeneous layer. The latter was consisting of nanometer-sized hydroxyapatite crystals grouped in particles with regular sphere shape and with a significantly higher average diameter in comparison to samples without extracellular matrix coating. Subsequent in vitro studies with living fibroblasts showed that the cellular behavior depended on the type of underlying substrate used for the hydroxyapatite growth, as well as on the immersion time of the samples in the simulated body fluid. Increasing the thickness of the hydroxyapatite layer altered visibly the cellular response, and the fibroblasts developed stellate morphology on the samples with a hydroxyapatite-extracellular matrix coating. Preadsorption with fibronectin significantly improved the initial cell adhesion and spreading to all surfaces. Thus, such an approach may contribute to the development of surfaces with better tissue compatibility.