Healthcare Provider Details

I. General information

NPI: 1447861166
Provider Name (Legal Business Name): FAMILY MATTERS HOME HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2020
Last Update Date: 08/14/2020
Certification Date: 08/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 WATERLOO RD
MOGADORE OH
44260-9595
US

IV. Provider business mailing address

400 WATERLOO RD
MOGADORE OH
44260-9595
US

V. Phone/Fax

Practice location:
  • Phone: 330-880-9388
  • Fax:
Mailing address:
  • Phone: 330-880-9388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. NANCY MARIE KOERBER
Title or Position: OWNER
Credential: RN
Phone: 330-880-9388