Provider Demographics
NPI:1699323220
Name:FAMILY HOME HEALTHCARE, INC
Entity type:Organization
Organization Name:FAMILY HOME HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GENE JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MABASA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-570-7160
Mailing Address - Street 1:2975 S RAINBOW BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-6597
Mailing Address - Country:US
Mailing Address - Phone:702-979-9927
Mailing Address - Fax:
Practice Address - Street 1:2975 S RAINBOW BLVD STE A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-6597
Practice Address - Country:US
Practice Address - Phone:702-979-9927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-27
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health