Family Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FAMILY CARE SERVICES LLC

Practice address

6114 W Capitol Dr
306
Milwaukee, WI 53216-2147

Phone

(414) 461-8036

NPI assigned

Nov 7, 2013

Last updated

Nov 7, 2013By 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

Ms. Kiondra Bohanon

Title

Marketing Director

Phone

(414) 461-8036

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1972932119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6114 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162147",
            "telephone_number": "414-461-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6114 W CAPITOL DR",
            "address_2": "306",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162147",
            "telephone_number": "414-461-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "BOHANON",
        "authorized_official_first_name": "KIONDRA",
        "authorized_official_title_or_position": "MARKETING DIRECTOR",
        "authorized_official_telephone_number": "414-461-8036",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100028479",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.