Provider Demographics
NPI:1093591935
Name:FAMI GROUP
Entity Type:Organization
Organization Name:FAMI GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FATEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPASI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-707-4974
Mailing Address - Street 1:7877 LYDIA DR
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-8076
Mailing Address - Country:US
Mailing Address - Phone:174-070-7497
Mailing Address - Fax:
Practice Address - Street 1:7877 LYDIA DR
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-8076
Practice Address - Country:US
Practice Address - Phone:174-070-7497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care