Provider Demographics
NPI:1679281760
Name:FAMILY HOME CARE AGENCY
Entity type:Organization
Organization Name:FAMILY HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TEA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMZOYEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-269-2659
Mailing Address - Street 1:6408 SEVEN CORNERS PL STE K
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2011
Mailing Address - Country:US
Mailing Address - Phone:703-269-2659
Mailing Address - Fax:855-269-2659
Practice Address - Street 1:6408 SEVEN CORNERS PL STE K
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2011
Practice Address - Country:US
Practice Address - Phone:703-269-2659
Practice Address - Fax:855-269-2659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-08
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health