Provider Demographics
NPI:1750395752
Name:FHC, FAMILY HOME CARE, INC.
Entity type:Organization
Organization Name:FHC, FAMILY HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:GO
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:574-329-4407
Mailing Address - Street 1:226 PARKOVASH AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46617-1147
Mailing Address - Country:US
Mailing Address - Phone:574-329-4407
Mailing Address - Fax:
Practice Address - Street 1:226 PARKOVASH AVE
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46617-1147
Practice Address - Country:US
Practice Address - Phone:574-329-4407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FHC, FAMILY HOME CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-28
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health