Provider Demographics
NPI:1699247056
Name:HAMILTON FAMILY CARE HOME LLC
Entity type:Organization
Organization Name:HAMILTON FAMILY CARE HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SEEDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIDYKHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-231-5284
Mailing Address - Street 1:13418 HAMILTON RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-8200
Mailing Address - Country:US
Mailing Address - Phone:980-209-0062
Mailing Address - Fax:980-209-0062
Practice Address - Street 1:13418 HAMILTON RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-8200
Practice Address - Country:US
Practice Address - Phone:980-209-0062
Practice Address - Fax:980-209-0062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-26
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility