Organization
FAMILY HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD A IRISH (PRESIDENT)
(480) 634-8828
Entity
Organization
Contact information
Practice address
1270 E BROADWAY RD STE 203, TEMPE, AZ 85282-1515
(480) 634-8828
(480) 644-0087
Mailing address
1270 E BROADWAY RD STE 203, TEMPE, AZ 85282-1515
(480) 634-8828
(480) 644-0087
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304700051
HOME CARE ORGANIZATION NUMBER- LAKE FOREST LOCATION
CA
01
—
404700009
HOME CARE ORGANIZATION NUMBER- COAST LOCATIONS
CA
Enumeration date
03/16/2021
Last updated
03/16/2021
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