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	299991789	FL

General Provider Information

NPI Number	:	1861430886
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HOME HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	6320 VENTURE DR
Second Line	:	SUITE 205
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34202-5130
Country	:	US
Telephone Number	:	941-907-1595
Fax Number	:	941-907-4768

Provider Business Practice Location Address
First Line	:	3230 W COMMERCIAL BLVD STE 160
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3400
Country	:	US
Telephone Number	:	954-598-0529
Fax Number	:	954-374-3743

Authorized Official
Title or Position	:	CFO
Name	:	DUFF WHITAKER
Credential	:
Telephone Number	:	941-907-1595

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	12/18/2019

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