Provider Demographics
NPI:1467649582
Name:FAMILY CARE HOME HEALTH
Entity Type:Organization
Organization Name:FAMILY CARE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHEINKAO
Authorized Official - Middle Name:J
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-664-9311
Mailing Address - Street 1:7528 W APPLETON AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-1008
Mailing Address - Country:US
Mailing Address - Phone:414-462-2600
Mailing Address - Fax:414-462-8088
Practice Address - Street 1:7528 W APPLETON AVE STE 201
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-1008
Practice Address - Country:US
Practice Address - Phone:414-462-2600
Practice Address - Fax:414-462-8088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1083251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health