Healthcare Provider Details

I. General information

NPI: 1104753649
Provider Name (Legal Business Name): FAMILY MATTERS SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1451 E 250TH ST
EUCLID OH
44117-1204
US

IV. Provider business mailing address

1451 E 250TH ST
EUCLID OH
44117-1204
US

V. Phone/Fax

Practice location:
  • Phone: 216-415-1619
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: LASHONDA NICOLE WILLIAMS
Title or Position: OWNER
Credential: CEO
Phone: 216-415-1619