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General NPI Number Information
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NPI Number | 1427680867
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Entity Type | Organization
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Legal Business Name | FAMILY CARE HOME HEALTH & HOSPICE, LLC
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Dates
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Enumeration Date | 02/04/2020
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 1 CHASE CORPORATE DR STE 400
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City | HOOVER
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State | AL
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Zip | 35244-7001
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Country | US
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Telephone | 702-445-1354
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Fax |
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Provider Business Mailing Address
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Address Line | 825 TOWN AND COUNTRY LN STE 1200
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City | HOUSTON
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State | TX
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Zip | 77024-2246
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MOHAMMED AHMED
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Credential | MD
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Telephone | 702-445-1354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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