Provider Demographics
NPI:1427870492
Name:FAMILY FIRST HOMECARE LLC
Entity type:Organization
Organization Name:FAMILY FIRST HOMECARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:DE JESUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-850-0042
Mailing Address - Street 1:2203 N LOIS AVE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-2388
Mailing Address - Country:US
Mailing Address - Phone:813-850-0042
Mailing Address - Fax:813-850-0043
Practice Address - Street 1:3750 NW 87TH AVE STE 700
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2434
Practice Address - Country:US
Practice Address - Phone:813-850-0042
Practice Address - Fax:813-850-0043
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY FIRST HOMECARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-30
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care