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NPI Code Detail

MEDICARE: FAMILY HOME HEALTH SERVICES, LLC

MEDICARE: FAMILY HOME HEALTH SERVICES, 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
1251E00000XHome Health Agency299992524FL
2251E00000XHome Health Agency

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1107630OTHERMEDICARE CCN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2299992524OTHERFLSTATE OF FLORIDA

General Provider Information

NPI Number : 1538101324
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY HOME HEALTH SERVICES, LLC
Provider Business Mailing Address
First Line : 8150 N CENTRAL EXPY STE 1800
Second Line :
City : DALLAS
State : TX
Zip : 75206-1883
Country : US
Telephone Number : 903-787-7609
Fax Number : 903-871-0005
Provider Business Practice Location Address
First Line : 10621 AIRPORT PULLING ROAD
Second Line : SUITE 3
City : NAPLES
State : FL
Zip : 34109-7333
Country : US
Telephone Number : 239-513-1297
Fax Number : 239-513-0031
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : CHRIS WALKER
Credential :
Telephone Number : 214-239-6500
Provider Enumeration Date : 06/13/2006
Last Update Date : 03/27/2026

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10621 AIRPORT PULLING RD N , SUITE 1
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1487682282 — DR. JEROME SCOTT NOLL DPM
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Practice Fax:
1801807490 — DR. MARIA GENE NOLL DPM
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NAPLES, FL
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1871776377 — FOOT AND ANKLE ASSOCIATES OF NORTH NAPLES, P.A.
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1609052547 — MRS. NANCY FAIGHT-TARRETE LMHC
Practice Location Address:
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Practice Fax:
1063713493 — MINDFUL THERAPEUTICS, LLC
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Directions to “FAMILY HOME HEALTH SERVICES, LLC ” Practice Location

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