Healthcare Provider Details

I. General information

NPI: 1598735078
Provider Name (Legal Business Name): FAMILY HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 12/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 TURPEN CT
SOMERSET KY
42503-3464
US

IV. Provider business mailing address

35 TURPEN CT
SOMERSET KY
42503-3464
US

V. Phone/Fax

Practice location:
  • Phone: 606-677-2972
  • Fax: 606-677-9263
Mailing address:
  • Phone: 606-677-2972
  • Fax: 606-677-9263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number750135
License Number StateKY

VIII. Authorized Official

Name: RONALD EVANS
Title or Position: VP OF ADMINISTRATIVE SERVICES
Credential:
Phone: 859-219-3939