Provider Demographics
NPI:1932929536
Name:FAMILY HOSPICE SERVICES LLC.
Entity type:Organization
Organization Name:FAMILY HOSPICE SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MANUELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:425-260-4581
Mailing Address - Street 1:25633 SE 30TH ST
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98075-9177
Mailing Address - Country:US
Mailing Address - Phone:425-260-4581
Mailing Address - Fax:425-369-9469
Practice Address - Street 1:1404 140TH PL NE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-3915
Practice Address - Country:US
Practice Address - Phone:425-260-4591
Practice Address - Fax:425-369-9469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based