Provider Demographics
NPI:1679877120
Name:FAMILY TREE HOME CARE SERVICES, LLC
Entity type:Organization
Organization Name:FAMILY TREE HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:G
Authorized Official - Last Name:NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:216-402-9056
Mailing Address - Street 1:889 N AURORA RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202-9537
Mailing Address - Country:US
Mailing Address - Phone:440-519-0001
Mailing Address - Fax:440-519-0002
Practice Address - Street 1:889 N AURORA RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:OH
Practice Address - Zip Code:44202-9537
Practice Address - Country:US
Practice Address - Phone:440-519-0001
Practice Address - Fax:440-519-0002
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTON BROS. HOLDING COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-12-26
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1980669251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health