Provider Demographics
NPI:1578085460
Name:FAMILY CARE AT HOME LLC
Entity Type:Organization
Organization Name:FAMILY CARE AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHEBAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-324-0128
Mailing Address - Street 1:5121 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11232-2629
Mailing Address - Country:US
Mailing Address - Phone:718-395-3710
Mailing Address - Fax:
Practice Address - Street 1:5121 2ND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11232-2629
Practice Address - Country:US
Practice Address - Phone:718-395-3710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health