Provider Demographics
NPI:1689254278
Name:THE FAMILY HELPERS - HOME CARE AGENCY, LLC
Entity Type:Organization
Organization Name:THE FAMILY HELPERS - HOME CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JORGEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GELEPLAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-598-8046
Mailing Address - Street 1:2015 W CACTUS RD APT 140
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-2790
Mailing Address - Country:US
Mailing Address - Phone:520-216-6530
Mailing Address - Fax:
Practice Address - Street 1:2015 W CACTUS RD APT 140
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-2790
Practice Address - Country:US
Practice Address - Phone:520-216-6530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty