Provider Demographics
NPI:1417183260
Name:FAMILY FOCUS HOME HEALTH, LLC
Entity Type:Organization
Organization Name:FAMILY FOCUS HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-863-1291
Mailing Address - Street 1:950 TAYLOR STATION RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6670
Mailing Address - Country:US
Mailing Address - Phone:614-863-1291
Mailing Address - Fax:614-863-6124
Practice Address - Street 1:950 TAYLOR STATION RD
Practice Address - Street 2:SUITE D
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6670
Practice Address - Country:US
Practice Address - Phone:614-863-1291
Practice Address - Fax:614-863-6124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1861552251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH36-8287OtherMEDICARE
OH3061412Medicaid