Healthcare Provider Details

I. General information

NPI: 1417183260
Provider Name (Legal Business Name): FAMILY FOCUS HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2009
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

843 N 21ST ST STE 109
NEWARK OH
43055-2954
US

IV. Provider business mailing address

5437 MAHONING AVE STE 22
YOUNGSTOWN OH
44515-2421
US

V. Phone/Fax

Practice location:
  • Phone: 330-990-0960
  • Fax:
Mailing address:
  • Phone: 330-853-8627
  • Fax: 614-863-6124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1861552
License Number StateOH

VIII. Authorized Official

Name: SASI KAZA
Title or Position: MEMBER
Credential:
Phone: 330-990-0960