Provider Demographics
NPI:1306373311
Name:FAMILY AFFAIR HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:FAMILY AFFAIR HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHARAELA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIGGENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-275-2008
Mailing Address - Street 1:9117 MARYMARK LN
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63134-2601
Mailing Address - Country:US
Mailing Address - Phone:314-441-0104
Mailing Address - Fax:
Practice Address - Street 1:919 S KINGSHIGHWAY ST
Practice Address - Street 2:
Practice Address - City:SIKESTON
Practice Address - State:MO
Practice Address - Zip Code:63801-4415
Practice Address - Country:US
Practice Address - Phone:855-275-2008
Practice Address - Fax:855-274-4559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-22
Last Update Date:2017-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care