Provider Demographics
NPI:1346003753
Name:FAMILYCARE HOME HEALTH
Entity Type:Organization
Organization Name:FAMILYCARE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:FREMPONG
Authorized Official - Last Name:BOAKYE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:234-352-8748
Mailing Address - Street 1:4650 JENNA CIR
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-1885
Mailing Address - Country:US
Mailing Address - Phone:234-352-8749
Mailing Address - Fax:
Practice Address - Street 1:4650 JENNA CIR
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-1885
Practice Address - Country:US
Practice Address - Phone:234-352-8749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health