Healthcare Provider Details

I. General information

NPI: 1003249541
Provider Name (Legal Business Name): FAMILY MATTERS HOME CARE LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2013
Last Update Date: 11/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1319 PLEASANT HILL RD
FLEETWOOD PA
19522-8514
US

IV. Provider business mailing address

PO BOX 61
FLEETWOOD PA
19522-0061
US

V. Phone/Fax

Practice location:
  • Phone: 610-926-8200
  • Fax:
Mailing address:
  • Phone: 610-926-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number23303601
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: KELLY J BUSS
Title or Position: EXECUTIVE MANAGER
Credential:
Phone: 610-926-8200