Provider Demographics
NPI:1104885870
Name:A FAMILIAR FACE HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:A FAMILIAR FACE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:VENTURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-355-9474
Mailing Address - Street 1:5899 WHITFIELD AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-6152
Mailing Address - Country:US
Mailing Address - Phone:941-355-9474
Mailing Address - Fax:941-359-1533
Practice Address - Street 1:5899 WHITFIELD AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-6152
Practice Address - Country:US
Practice Address - Phone:941-355-9474
Practice Address - Fax:941-359-1533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL107784Medicare ID - Type UnspecifiedHOME HEALTH PROVIDER NO.