Healthcare Provider Details

I. General information

NPI: 1881216331
Provider Name (Legal Business Name): F & P HOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2020
Last Update Date: 05/07/2020
Certification Date: 05/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4445 COMMERCE ST STE 201
EVANSVILLE IN
47710-3677
US

IV. Provider business mailing address

4445 COMMERCE ST STE 201
EVANSVILLE IN
47710-3677
US

V. Phone/Fax

Practice location:
  • Phone: 812-708-0752
  • Fax: 812-413-9776
Mailing address:
  • Phone: 812-708-0752
  • Fax: 812-413-9776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: KEVIN FERRELL
Title or Position: OWNER/MANAGING PARTNER
Credential:
Phone: 812-568-7311