Provider Demographics
NPI:1033783337
Name:FAMILY CARE AT HOME, LLC
Entity Type:Organization
Organization Name:FAMILY CARE AT HOME, LLC
Other - Org Name:FAMILY CARE AT HOME, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRADOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYSONET
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:352-875-7594
Mailing Address - Street 1:13303 SW 85TH TER
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34473-2945
Mailing Address - Country:US
Mailing Address - Phone:352-875-7594
Mailing Address - Fax:
Practice Address - Street 1:13303 SW 85TH TER
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34473-2945
Practice Address - Country:US
Practice Address - Phone:352-875-7594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2022-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services