MEDICARE: FAMILY HOME CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1245872340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HOME CARE, INC

Provider Business Mailing Address
First Line	:	2328 LEWIS RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-7130
Country	:	US
Telephone Number	:	561-574-9907
Fax Number	:

Provider Business Practice Location Address
First Line	:	2328 LEWIS RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-7130
Country	:	US
Telephone Number	:	561-574-9907
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	KELLY FLEURY
Credential	:
Telephone Number	:	561-574-9907

Provider Enumeration Date	:	10/10/2019
Last Update Date	:	10/10/2019

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Directions to “FAMILY HOME CARE, INC ” Practice Location

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