Provider Demographics
NPI:1124538988
Name:FAMILY 1ST HOME CARE INC,
Entity Type:Organization
Organization Name:FAMILY 1ST HOME CARE INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMILLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-221-6973
Mailing Address - Street 1:1428 PITKIN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-5110
Mailing Address - Country:US
Mailing Address - Phone:718-221-6973
Mailing Address - Fax:718-221-6975
Practice Address - Street 1:1428 PITKIN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-5110
Practice Address - Country:US
Practice Address - Phone:718-221-6973
Practice Address - Fax:718-221-6975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-06
Last Update Date:2017-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04823332Medicaid