Provider Demographics
NPI:1497525554
Name:YOUR FAMILY MATTERS HOME CARE AGENCY, LLC
Entity Type:Organization
Organization Name:YOUR FAMILY MATTERS HOME CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:RENETTE
Authorized Official - Last Name:BUIE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:919-451-9185
Mailing Address - Street 1:1802 MARTIN LUTHER KING PKWY STE 108
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3586
Mailing Address - Country:US
Mailing Address - Phone:984-344-7200
Mailing Address - Fax:984-244-7202
Practice Address - Street 1:1802 MARTIN LUTHER KING PKWY STE 108
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-3586
Practice Address - Country:US
Practice Address - Phone:984-344-7200
Practice Address - Fax:984-244-7202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care