Provider Demographics
NPI:1043713738
Name:FAMILY 1ST PERSONAL HOME CARE LLC
Entity Type:Organization
Organization Name:FAMILY 1ST PERSONAL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-294-1396
Mailing Address - Street 1:125 WREN ST
Mailing Address - Street 2:
Mailing Address - City:EAST TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02718-1079
Mailing Address - Country:US
Mailing Address - Phone:774-294-1396
Mailing Address - Fax:
Practice Address - Street 1:125 WREN ST
Practice Address - Street 2:
Practice Address - City:EAST TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02718-1079
Practice Address - Country:US
Practice Address - Phone:774-294-1396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-09
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care