Provider Demographics
NPI:1285948844
Name:FAMILY FIRST LLC
Entity type:Organization
Organization Name:FAMILY FIRST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:502-690-4376
Mailing Address - Street 1:4012 DUPONT CIR
Mailing Address - Street 2:SUITE 304
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4813
Mailing Address - Country:US
Mailing Address - Phone:502-690-4376
Mailing Address - Fax:502-365-2519
Practice Address - Street 1:4012 DUPONT CIR
Practice Address - Street 2:SUITE 304
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4813
Practice Address - Country:US
Practice Address - Phone:502-690-4376
Practice Address - Fax:502-365-2519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5461CZ343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)