Provider Demographics
NPI:1699430553
Name:FAMILY MATTERS HOME CARE
Entity type:Organization
Organization Name:FAMILY MATTERS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLSOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-996-8079
Mailing Address - Street 1:229 MARTIN LUTHER KING JR DR # D
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:38635-1316
Mailing Address - Country:US
Mailing Address - Phone:662-996-8079
Mailing Address - Fax:
Practice Address - Street 1:229 MARTIN LUTHER KING JR DR # D
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:38635-1316
Practice Address - Country:US
Practice Address - Phone:662-996-8079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-05
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care