Provider Demographics
NPI:1508571795
Name:FAMILY MATTERS HOME CARE LLC
Entity Type:Organization
Organization Name:FAMILY MATTERS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:LAMONT
Authorized Official - Last Name:HORTON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:720-541-6448
Mailing Address - Street 1:4575 S SALIDA ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1977
Mailing Address - Country:US
Mailing Address - Phone:720-541-6448
Mailing Address - Fax:
Practice Address - Street 1:4575 S SALIDA ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1977
Practice Address - Country:US
Practice Address - Phone:720-541-6448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO20228237900Medicaid