Healthcare Provider Details

I. General information

NPI: 1760442115
Provider Name (Legal Business Name): FAMILY HOME HEALTH PLUS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 JACKSON AVE
POINT PLEASANT WV
25550-2042
US

IV. Provider business mailing address

2415 JACKSON AVE
POINT PLEASANT WV
25550-2042
US

V. Phone/Fax

Practice location:
  • Phone: 304-675-5055
  • Fax: 304-675-8976
Mailing address:
  • Phone: 304-675-5055
  • Fax: 304-675-8976

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: APRIL M. BURGETT
Title or Position: ADMINISTRATOR
Credential:
Phone: 304-675-5055