Provider Demographics
NPI:1922542059
Name:FAMILIES IN CARE HEALTH AND HOME CARE
Entity Type:Organization
Organization Name:FAMILIES IN CARE HEALTH AND HOME CARE
Other - Org Name:FAMILIES IN CARE INTERVENTION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LEONA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-624-9930
Mailing Address - Street 1:806 N 25TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-6542
Mailing Address - Country:US
Mailing Address - Phone:804-648-0058
Mailing Address - Fax:804-648-0058
Practice Address - Street 1:806 N 25TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-6542
Practice Address - Country:US
Practice Address - Phone:804-648-0058
Practice Address - Fax:804-648-0058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-08
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-171245251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1432Medicaid