Provider Demographics
NPI:1124876859
Name:FAMILY TEAM HOME CARE
Entity type:Organization
Organization Name:FAMILY TEAM HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:OKPAMEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:713-330-5109
Mailing Address - Street 1:7115 PAVILION DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6946
Mailing Address - Country:US
Mailing Address - Phone:832-278-1761
Mailing Address - Fax:
Practice Address - Street 1:7115 PAVILION DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6946
Practice Address - Country:US
Practice Address - Phone:832-278-1761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care