Provider Demographics
NPI:1013153790
Name:FAMILY HOME HEALTHCARE
Entity Type:Organization
Organization Name:FAMILY HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LORONZA
Authorized Official - Middle Name:TYRONE
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:409-347-8488
Mailing Address - Street 1:9660 MISSISSIPPI ST.
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77707-5604
Mailing Address - Country:US
Mailing Address - Phone:409-347-8488
Mailing Address - Fax:409-347-8488
Practice Address - Street 1:9660 MISSISSIPPI ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707-5604
Practice Address - Country:US
Practice Address - Phone:409-347-8488
Practice Address - Fax:409-347-8488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health