Provider Demographics
NPI:1518176866
Name:FAMILY TIES, LLC
Entity Type:Organization
Organization Name:FAMILY TIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PROGRAM SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTES
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:859-326-0689
Mailing Address - Street 1:632 DAVID AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422-9266
Mailing Address - Country:US
Mailing Address - Phone:859-326-0689
Mailing Address - Fax:859-236-7987
Practice Address - Street 1:632 DAVID AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-9266
Practice Address - Country:US
Practice Address - Phone:859-326-0689
Practice Address - Fax:859-236-7987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251C00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care