Provider Demographics
NPI:1609531581
Name:FAMILY CARE HOME HEALTH CARE PROVIDERS LLC
Entity Type:Organization
Organization Name:FAMILY CARE HOME HEALTH CARE PROVIDERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-954-1783
Mailing Address - Street 1:2671 VERA AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-4532
Mailing Address - Country:US
Mailing Address - Phone:513-954-1783
Mailing Address - Fax:
Practice Address - Street 1:2671 VERA AVE APT 3
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-4532
Practice Address - Country:US
Practice Address - Phone:513-954-1783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health