Healthcare Provider Details

I. General information

NPI: 1922439041
Provider Name (Legal Business Name): FAMILY HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2013
Last Update Date: 08/23/2021
Certification Date: 08/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1602 S PARKER RD STE 203
DENVER CO
80231-2921
US

IV. Provider business mailing address

1602 S PARKER RD STE 203
DENVER CO
80231-2921
US

V. Phone/Fax

Practice location:
  • Phone: 303-481-8253
  • Fax: 303-481-8253
Mailing address:
  • Phone: 614-254-2005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MOHAMED I AHMED
Title or Position: PRESIDENT
Credential:
Phone: 614-254-2005