Provider Demographics
NPI:1972874634
Name:FAMILY HOME CARE SERVICES, LLC
Entity type:Organization
Organization Name:FAMILY HOME CARE SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-771-1291
Mailing Address - Street 1:260 NORTHLAND BLVD STE 231
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:OH
Mailing Address - Zip Code:45246-4920
Mailing Address - Country:US
Mailing Address - Phone:513-771-1291
Mailing Address - Fax:513-771-1435
Practice Address - Street 1:260 NORTHLAND BLVD STE 231
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:OH
Practice Address - Zip Code:45246-4920
Practice Address - Country:US
Practice Address - Phone:513-771-1291
Practice Address - Fax:513-771-1435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)