Provider Demographics
NPI:1245935774
Name:FTL HOME HEALTH CARE AGENCY LLC
Entity type:Organization
Organization Name:FTL HOME HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANENE
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:AVERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-883-4441
Mailing Address - Street 1:PO BOX 1671
Mailing Address - Street 2:
Mailing Address - City:PISGAH FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:28768-1671
Mailing Address - Country:US
Mailing Address - Phone:828-883-4441
Mailing Address - Fax:828-845-1163
Practice Address - Street 1:3431 ASHEVILLE HWY
Practice Address - Street 2:
Practice Address - City:PISGAH FOREST
Practice Address - State:NC
Practice Address - Zip Code:28768-8771
Practice Address - Country:US
Practice Address - Phone:828-883-4441
Practice Address - Fax:828-845-1163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health