Organization Active NPI

Family Home Health Care, LLC

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1922326040
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
PCA125 Issued in WI
Legal business name
FAMILY HOME HEALTH CARE, LLC
Practice address
3726 W National Ave
Milwaukee, WI 53215-1008
Phone
(414) 897-6884
Fax
(414) 383-1903
NPI assigned
May 13, 2010
Last updated
Mar 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Mr. Rick K Vang
Title
Owner/President
Phone
(414) 897-6884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X PCA125 WI Primary

Addresses

Primary practice location

3726 W National Ave
Milwaukee, WI 53215-1008

Mailing address

3726 W National Ave
Milwaukee, WI 53215-1008
Phone (414) 897-6884

Other identifiers 1

IdentifierTypeStateIssuer
100012370MedicaidWI

National Provider Directory

National Provider Directory

Locations

3726 W National Ave
Milwaukee, WI 53215
Phone (414) 897-6884

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1922326040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 W NATIONAL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532151008",
            "telephone_number": "414-897-6884",
            "fax_number": "414-383-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 W NATIONAL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532151008",
            "telephone_number": "414-897-6884",
            "fax_number": "414-383-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "414-897-6884",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WI",
            "license": "PCA125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100012370",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.