Family Alliance Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FAMILY ALLIANCE CARE, LLC

Practice address

159 Dortmund Dr
Fayetteville, OH 45118-9406

Phone

(513) 283-4435

NPI assigned

Nov 20, 2020

Last updated

Nov 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tera Rae CampbellNPI 1487252219

Title

Ceo

Phone

(513) 283-4435

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tera Campbell

  • In Home Supportive Care Agency
  • Fayetteville, OH
  • NPI 1487252219
  NPD Authorized official

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1346843497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 DORTMUND DR",
            "city": "FAYETTEVILLE",
            "state": "OH",
            "postal_code": "451189406",
            "telephone_number": "513-283-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 DORTMUND DR",
            "city": "FAYETTEVILLE",
            "state": "OH",
            "postal_code": "451189406",
            "telephone_number": "513-283-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ALLIANCE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "TERA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-283-4435"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0407416",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vickie L Christophel
• Jarrod Dumford
• Sara A Egan
• Christina Lynn Evans, LPN
• Family Alliance at Home Care LLC
• Fayetteville Fire Department, Inc.
• Fayetteville-Perry Local Schools
• Brittany Noel Hall
• Katherine J Hauke
• Kristina W. Hesser, R.N.

• In Home Supportive Care Agency in Fayetteville, OH
• Providers in Fayetteville, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.