Provider Demographics
NPI:1528218443
Name:FAMILY IN-HOME SERVICES LLC
Entity Type:Organization
Organization Name:FAMILY IN-HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ALVIN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-333-1999
Mailing Address - Street 1:1206 WARD AVE
Mailing Address - Street 2:PO BOX 904
Mailing Address - City:CARUTHERSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63830-2204
Mailing Address - Country:US
Mailing Address - Phone:573-333-1999
Mailing Address - Fax:573-333-1994
Practice Address - Street 1:1206 WARD AVE
Practice Address - Street 2:
Practice Address - City:CARUTHERSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63830-2204
Practice Address - Country:US
Practice Address - Phone:573-333-1999
Practice Address - Fax:573-333-1994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-27
Last Update Date:2008-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health