Provider Demographics
NPI:1437966082
Name:FAMILY HOME HEALTH CARE LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:FAMILY HOME HEALTH CARE LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAH KU
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-346-6391
Mailing Address - Street 1:2045 BELMONT LN E
Mailing Address - Street 2:
Mailing Address - City:NORTH SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55109-3822
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2045 BELMONT LN E
Practice Address - Street 2:
Practice Address - City:NORTH SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55109-3822
Practice Address - Country:US
Practice Address - Phone:763-346-6391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care