Provider Demographics
NPI:1568130458
Name:FAMILYWAY HOMECARE INC
Entity Type:Organization
Organization Name:FAMILYWAY HOMECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RASAKI
Authorized Official - Middle Name:
Authorized Official - Last Name:BELO-OSAGIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-662-8992
Mailing Address - Street 1:104 ALEXANDER AVE
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07043-2619
Mailing Address - Country:US
Mailing Address - Phone:718-662-8892
Mailing Address - Fax:347-240-7031
Practice Address - Street 1:104 ALEXANDER AVE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07043-2619
Practice Address - Country:US
Practice Address - Phone:718-662-8892
Practice Address - Fax:347-240-7031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health