Provider Demographics
NPI:1821714296
Name:HMF FAMILY CARE HOMES
Entity Type:Organization
Organization Name:HMF FAMILY CARE HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAZEL
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:FORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-860-4060
Mailing Address - Street 1:1200 MOODY ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-4217
Mailing Address - Country:US
Mailing Address - Phone:336-860-4060
Mailing Address - Fax:336-937-9157
Practice Address - Street 1:809 W MINNEOLA ST
Practice Address - Street 2:
Practice Address - City:GIBSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:27249-8880
Practice Address - Country:US
Practice Address - Phone:336-860-4060
Practice Address - Fax:336-937-9157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home