Provider Demographics
NPI:1205228509
Name:FAMILY MATTERS HOME SERVICES LLC
Entity Type:Organization
Organization Name:FAMILY MATTERS HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHNNA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SPROUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-748-7696
Mailing Address - Street 1:985 RAMSEY LN
Mailing Address - Street 2:
Mailing Address - City:NEW MADRID
Mailing Address - State:MO
Mailing Address - Zip Code:63869-1046
Mailing Address - Country:US
Mailing Address - Phone:573-748-7696
Mailing Address - Fax:
Practice Address - Street 1:985 RAMSEY LN
Practice Address - Street 2:
Practice Address - City:NEW MADRID
Practice Address - State:MO
Practice Address - Zip Code:63869-1046
Practice Address - Country:US
Practice Address - Phone:573-748-7696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-23
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health