MEDICARE: FAMILY FOCUS HEALTHCARE SERVICES

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	251E00000X	Home Health Agency		WI

General Provider Information

NPI Number	:	1265862932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY FOCUS HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	500 W SILVER SPRING DR
Second Line	:	K200
City	:	MILWAUKEE
State	:	WI
Zip	:	53217-5051
Country	:	US
Telephone Number	:	414-847-6355
Fax Number	:	414-755-1830

Provider Business Practice Location Address
First Line	:	500 W SILVER SPRING DR
Second Line	:	K200
City	:	MILWAUKEE
State	:	WI
Zip	:	53217-5051
Country	:	US
Telephone Number	:	414-847-6355
Fax Number	:	414-755-1830

Authorized Official
Title or Position	:	REGISTER NURSE
Name	:	REGINA MARIE THOMAS
Credential	:
Telephone Number	:	414-847-6355

Provider Enumeration Date	:	11/17/2013
Last Update Date	:	11/17/2013

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