MEDICARE: FAMILY HOME HEALTH 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

General Provider Information

NPI Number	:	1831439926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	5460 63RD ST E UNIT A
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34203-7808
Country	:	US
Telephone Number	:	941-907-1595
Fax Number	:	941-907-4768

Provider Business Practice Location Address
First Line	:	5460 63RD ST E UNIT A
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34203-7808
Country	:	US
Telephone Number	:	941-907-1595
Fax Number	:	941-907-4768

Authorized Official
Title or Position	:	CFO
Name	:	LISA POTTER
Credential	:
Telephone Number	:	303-413-6276

Provider Enumeration Date	:	02/26/2013
Last Update Date	:	09/29/2021

Similar Medicare Providers

1386687176 — FAMILY HOME HEALTH SERVICES LLC
Practice Location Address:

5460 63RD ST E , SUITE A
BRADENTON, FL
34203-7808

Practice Phone: 941-739-7748
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1184668394 — AMY J STERN ARNP
Practice Location Address:

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1881607208 — DR. ELENA DOLSKAYA M.D
Practice Location Address:

5460 63RD ST E , STE 200 B
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34203-7808

Practice Phone: 941-316-8200
Practice Fax: 941-316-8199

1447329545 — DR. SALVATORE DANIEL DIDOMENICO JR. D.C.
Practice Location Address:

5460 63RD ST E , SUITEB
BRADENTON, FL
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Practice Phone: 941-758-8811
Practice Fax:

1467775056 — MS. KIMBERLY D JASCH ARNP
Practice Location Address:

5460 63RD ST E , STE 200 B
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1275870651 — DEBORAH E KANTOR ARNP
Practice Location Address:

5460 63RD ST E , SUITE A
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34203-7808

Practice Phone: 941-758-0379
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Directions to “FAMILY HOME HEALTH SERVICES ” Practice Location

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