Provider Demographics
NPI:1932787173
Name:FAMILY HOME HEALTHCARE AGENCY LLC
Entity Type:Organization
Organization Name:FAMILY HOME HEALTHCARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTHCARE PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-234-0062
Mailing Address - Street 1:102 HOWELL ST
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE
Mailing Address - State:KY
Mailing Address - Zip Code:42234
Mailing Address - Country:US
Mailing Address - Phone:229-234-0062
Mailing Address - Fax:
Practice Address - Street 1:102 HOWELL ST
Practice Address - Street 2:
Practice Address - City:GUTHRIE
Practice Address - State:KY
Practice Address - Zip Code:42234
Practice Address - Country:US
Practice Address - Phone:229-234-0062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)