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
1	251E00000X	Home Health Agency	299991485	FL
2	251E00000X	Home Health Agency

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	107630	OTHER		MEDICARE CCN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	299991485	OTHER	FL	STATE OF FLORIDA

General Provider Information

NPI Number	:	1538107537
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	:	6844 INTERNATIONAL CENTER BLVD STE 500
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-7159
Country	:	US
Telephone Number	:	239-278-3447
Fax Number	:	239-278-3776

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	CHRIS WALKER
Credential	:
Telephone Number	:	214-239-6500

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	03/27/2026

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Directions to “FAMILY HOME HEALTH SERVICES, LLC ” Practice Location

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