Healthcare Provider Details

I. General information

NPI: 1821324245
Provider Name (Legal Business Name): FAMILY CHOICE HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2009
Last Update Date: 05/05/2021
Certification Date: 05/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 LEXINGTON RD SUITE G
RICHMOND KY
40475-7924
US

IV. Provider business mailing address

2150 LEXINGTON RD STE G
RICHMOND KY
40475-7924
US

V. Phone/Fax

Practice location:
  • Phone: 859-333-8147
  • Fax: 877-665-7294
Mailing address:
  • Phone: 859-333-8147
  • Fax: 877-665-7291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. SYBIL CELESTE FORSYTHE
Title or Position: OWNER
Credential: MS CCC/SLP
Phone: 859-333-8147