Provider Demographics
NPI:1114670924
Name:FAMILY CARE & HOUSING SERVICES LLC
Entity Type:Organization
Organization Name:FAMILY CARE & HOUSING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MACK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-934-2236
Mailing Address - Street 1:511 N EDGEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-3060
Mailing Address - Country:US
Mailing Address - Phone:410-934-2236
Mailing Address - Fax:
Practice Address - Street 1:42 N BENTALOU ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21223-1417
Practice Address - Country:US
Practice Address - Phone:443-977-0964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care