NPIMap

Organization Active NPI

Family Care Home Health and Hospice

  • Home Health Agency
  • Flagstaff, AZ
National Provider Identifier
1124664305
Registry record updated May 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAMILY CARE HOME HEALTH AND HOSPICE
Practice address
713 N Beaver St Ste 1
Flagstaff, AZ 86001-3142
Phone
(928) 299-5100
Fax
(928) 299-5026
NPI assigned
Nov 21, 2019
Organization subpart
Yes
Parent organization
FAMILY CARE HOME HEALTH AND HOSPICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mohammed Ahmed, MD
Title
Manager
Phone
(928) 299-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

713 N Beaver St Ste 1
Flagstaff, AZ 86001-3142

Mailing address

2440 Adobe Rd
Ste 106
Bullhead City, AZ 86442-4485
Phone (928) 299-5100

Other names 1

  • Family Care Home Health Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Care Home Health and Hospice9 organizations share this tax ID, including this one
Part of
Family Care Home Health and Hospice

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2580 Highway 95
Ste 203
Bullhead City, AZ 86442
Phone (928) 201-1189

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716681600000",
    "number": "1124664305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 ADOBE RD",
            "address_2": "STE 106",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864424485",
            "telephone_number": "928-299-5100",
            "fax_number": "928-299-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 N BEAVER ST STE 1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013142",
            "telephone_number": "928-299-5100",
            "fax_number": "928-299-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE HOME HEALTH AND HOSPICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY CARE HOME HEALTH AND HOSPICE",
        "enumeration_date": "2019-11-21",
        "last_updated": "2024-05-26",
        "certification_date": "2024-05-26",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-299-5100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Care Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.