Fisher Family Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FISHER FAMILY HOME CARE LLC

Practice address

810A Montgomery St
Sikeston, MO 63801-4030

Phone

(573) 380-3537

NPI assigned

Sep 11, 2024

Organization subpart

No

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

Authorized official

Name

Latwaine Fisher

Title

Owner, Vice President

Phone

(573) 380-3537

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1861228397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810A MONTGOMERY ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638014030",
            "telephone_number": "573-380-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810A MONTGOMERY ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638014030",
            "telephone_number": "573-380-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER FAMILY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "LATWAINE",
        "authorized_official_title_or_position": "OWNER, VICE PRESIDENT",
        "authorized_official_telephone_number": "573-380-3537"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.