MEDICARE: FAMILY HEALTHCARE SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1841057924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HEALTHCARE SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 223
Second Line	:
City	:	ZACHARY
State	:	LA
Zip	:	70791-0223
Country	:	US
Telephone Number	:	225-460-4909
Fax Number	:

Provider Business Practice Location Address
First Line	:	12090 S HARRELLS FERRY RD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-2470
Country	:	US
Telephone Number	:	225-460-4909
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHANTEL WILEY
Credential	:	NP
Telephone Number	:	225-460-4909

Provider Enumeration Date	:	03/05/2024
Last Update Date	:	06/22/2026

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