Provider Demographics
NPI:1396492161
Name:FAMILY MATTERS HOME CARE LLC
Entity type:Organization
Organization Name:FAMILY MATTERS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:M PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-506-5252
Mailing Address - Street 1:919 MITCHELL AVE
Mailing Address - Street 2:
Mailing Address - City:CHINA GROVE
Mailing Address - State:NC
Mailing Address - Zip Code:28023-7418
Mailing Address - Country:US
Mailing Address - Phone:704-859-1003
Mailing Address - Fax:
Practice Address - Street 1:919 MITCHELL AVE
Practice Address - Street 2:
Practice Address - City:CHINA GROVE
Practice Address - State:NC
Practice Address - Zip Code:28023-7418
Practice Address - Country:US
Practice Address - Phone:704-859-1003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2023-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty