Provider Demographics
NPI:1578501342
Name:FAMILY HOME CARE, INC
Entity Type:Organization
Organization Name:FAMILY HOME CARE, INC
Other - Org Name:HOME CARE OF CHATTANOOGA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, BUSINESS OFFICE SUPPORT
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLTSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-465-7466
Mailing Address - Street 1:7161 LEE HIGHWAY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-9605
Mailing Address - Country:US
Mailing Address - Phone:423-899-9166
Mailing Address - Fax:423-899-9683
Practice Address - Street 1:7161 LEE HIGHWAY
Practice Address - Street 2:SUITE 500
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-8605
Practice Address - Country:US
Practice Address - Phone:423-899-9166
Practice Address - Fax:423-899-9683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000107251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN447198Medicare Oscar/Certification