Provider Demographics
NPI:1629351440
Name:FAMILY CARE HOME HEALTH & HOSPICE
Entity Type:Organization
Organization Name:FAMILY CARE HOME HEALTH & HOSPICE
Other - Org Name:FAMILY CARE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-445-1354
Mailing Address - Street 1:1945 E WARM SPRINGS RD STE 400
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-4583
Mailing Address - Country:US
Mailing Address - Phone:702-650-9366
Mailing Address - Fax:702-650-9388
Practice Address - Street 1:6960 OBANNON DR STE 130
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2160
Practice Address - Country:US
Practice Address - Phone:702-445-1354
Practice Address - Fax:702-650-9388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-28
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based