Provider Demographics
NPI:1043802523
Name:FAMILY FIRST HOSPICE INC
Entity Type:Organization
Organization Name:FAMILY FIRST HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-482-1833
Mailing Address - Street 1:11225 N 28TH DR STE B111
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-5605
Mailing Address - Country:US
Mailing Address - Phone:480-482-1833
Mailing Address - Fax:480-535-6588
Practice Address - Street 1:11225 N 28TH DR STE B111
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-5605
Practice Address - Country:US
Practice Address - Phone:480-482-1833
Practice Address - Fax:480-535-6588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-06
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based