Family Home Care Corporation

Organization Active NPI Home Health Agency · Liberty Lake, WA

NPI 1497951651 · NPPES record last updated Oct 23, 2008

Key facts

NPI
1497951651
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
IS280 (WA)
Legal business name
FAMILY HOME CARE CORPORATION
Practice address
22820 E Appleway
Liberty Lake, WA 99019-9514
Phone
(509) 473-4900
Fax
(509) 755-4987
NPI assigned
Jun 25, 2007
Organization subpart
Yes
Parent organization (as reported)
FAMILY HOME CARE CORPORATION

Authorized official

Name
Mrs. Michelle A Wilson
Title
Billing Supervisor
Phone
(509) 755-4904

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Part of
Family Home Care Corp

Locations

1620 Northwest Blvd
Ste 201
Coeur D Alene, ID 83814
Phone (208) 651-2952

22820 E Appleway Ave
Liberty Lake, WA 99019
Phone (509) 220-3048

1610 NE Eastgate Blvd
Ste 850
Pullman, WA 99163
Phone (509) 397-4641

9922 E Montgomery Dr
Spokane Valley, WA 99206
Phone (509) 473-4900

9922 E Montgomery Dr
#3
Spokane Valley, WA 99206
Phone (509) 473-4900

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IS280 WA Yes

Addresses

Primary practice location

22820 E Appleway
Liberty Lake, WA 99019-9514

Mailing address

22820 E Appleway
Liberty Lake, WA 99019-9514
Phone (509) 473-4900

Other identifiers

IdentifierTypeStateIssuer
783884MedicaidWA
9052200MedicaidWA
9050949MedicaidWA
0147269OtherWAL&I
7330095MedicaidWA
9055120MedicaidWA
23173OtherWAGROUP HEALTH
1128OtherWAPREMERA BLUE CROSS
7408065MedicaidWA

Other providers in Liberty Lake, WA

All providers in Liberty Lake, WA · Home Health Agency in Washington

Sources for this page

Verify at the official NPI Registry.