Healthcare Provider Details

I. General information

NPI: 1740250133
Provider Name (Legal Business Name): FAMILY HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 02/14/2026
Certification Date: 02/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1539 GREENUP AVE STE 503
ASHLAND KY
41101-7695
US

IV. Provider business mailing address

805 N WHITTINGTON PKWY STE 400
LOUISVILLE KY
40222-7102
US

V. Phone/Fax

Practice location:
  • Phone: 606-324-2491
  • Fax: 606-324-7676
Mailing address:
  • Phone: 502-630-7138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number150164
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number150164
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number150164
License Number StateKY

VIII. Authorized Official

Name: MS. MARGARET PEMBERTON
Title or Position: VICE PRESIDENT
Credential:
Phone: 502-272-3466