Healthcare Provider Details

I. General information

NPI: 1447110200
Provider Name (Legal Business Name): FAMILY HOME CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9111 CROSS PARK DR STE E120
KNOXVILLE TN
37923-4522
US

IV. Provider business mailing address

9111 CROSS PARK DR STE E120
KNOXVILLE TN
37923-4522
US

V. Phone/Fax

Practice location:
  • Phone: 865-260-4000
  • Fax: 865-260-4444
Mailing address:
  • Phone: 865-260-4000
  • Fax: 865-260-4444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VICKIE HABERBOSCH
Title or Position: RN
Credential:
Phone: 865-260-4000