MEDICARE: HEALTHY HOME & FAMILY INC

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	251X00000X	Supports Brokerage Agency
2	251E00000X	Home Health Agency
3	253Z00000X	In Home Supportive Care Agency
4	163W00000X	Registered Nurse	141590	MO
5	251J00000X	Nursing Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922202209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY HOME & FAMILY INC

Provider Business Mailing Address
First Line	:	210 W HARRISON ST
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-2510
Country	:	US
Telephone Number	:	573-760-0709
Fax Number	:	573-760-0124

Provider Business Practice Location Address
First Line	:	210 W HARRISON ST
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-2510
Country	:	US
Telephone Number	:	573-760-0709
Fax Number	:	573-760-0124

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GABRIEL CRAWFORD
Credential	:	PMHNP
Telephone Number	:	573-330-6468

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	03/23/2026

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Directions to “HEALTHY HOME & FAMILY INC ” Practice Location

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