MEDICARE: YOUR FAMILY MATTERS HOME CARE AGENCY, LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1497525554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUR FAMILY MATTERS HOME CARE AGENCY, LLC

Provider Business Mailing Address
First Line	:	1802 MARTIN LUTHER KING PKWY STE 108
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-3586
Country	:	US
Telephone Number	:	984-344-7200
Fax Number	:	984-244-7202

Provider Business Practice Location Address
First Line	:	1802 MARTIN LUTHER KING PKWY STE 108
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-3586
Country	:	US
Telephone Number	:	984-344-7200
Fax Number	:	984-244-7202

Authorized Official
Title or Position	:	DIRECTOR
Name	:	STEPHANIE RENETTE BUIE
Credential	:	OWNER
Telephone Number	:	919-451-9185

Provider Enumeration Date	:	01/08/2024
Last Update Date	:	02/13/2024

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