Family Home Care, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

114 Issued in AL

Legal business name

FAMILY HOME CARE, INC.

Practice address

1105 Battleground Drive
Iuka, MS 38852

Phone

(662) 423-6779

Fax

(662) 423-6464

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Catherine A. Clemons

Title

Owner

Phone

(662) 423-6779

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1952476707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 BATTLEGROUND DRIVE",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "38852",
            "telephone_number": "662-423-6779",
            "fax_number": "662-423-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 BATTLEGROUND DRIVE",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "38852",
            "telephone_number": "662-423-6779",
            "fax_number": "662-423-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-423-6779",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000006584",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3554339",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000056058",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00040186",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3554339",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Drayer Physical Therapy Mississippi LLC
• Drayer Physical Therapy of Tennessee LLC
• James Dye, CMHT
• Rollin Fair, DPT
• Family Home Care, Inc.
• Fast Pace Mississippi, PLLC
• Fast Pace Mississippi, PLLC
• Felix Morris M.D., LLC
• Devin I Ferrell, OTA
• Chad Everett Fisher

• Durable Medical Equipment & Medical Supplies in Iuka, MS
• Providers in Iuka, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.