NPIMap

Organization Active NPI

Family Care Home Health & Hospice

Doing business as Family Care Hospice

  • Community Based Hospice Care Agency
  • Lake Havasu City, AZ
National Provider Identifier
1316609324
Registry record updated May 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FAMILY CARE HOME HEALTH & HOSPICE
Doing business as
Family Care Hospice
Practice address
1695 Mesquite Ave Ste 108
Lake Havasu City, AZ 86403-5684
Phone
(928) 302-3338
NPI assigned
Oct 7, 2021
Last updated
May 26, 2024By the provider in NPPES
Organization subpart
No

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
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

1695 Mesquite Ave Ste 108
Lake Havasu City, AZ 86403-5684

Mailing address

1695 Mesquite Ave Ste 108
Lake Havasu City, AZ 86403-5684
Phone (928) 302-3338

Other names 1

  • FAMILY CARE HOSPICE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Care Home Health Hospice LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

1695 Mesquite Ave
Ste 108
Lake Havasu City, AZ 86403
Phone (928) 302-3338

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716681600000",
    "number": "1316609324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 MESQUITE AVE STE 108",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035684",
            "telephone_number": "928-302-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 MESQUITE AVE STE 108",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035684",
            "telephone_number": "928-302-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE HOME HEALTH & HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY CARE HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY CARE HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Havasu City, 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.