Provider Demographics
NPI:1164292264
Name:FAMILY 1ST HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:FAMILY 1ST HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-470-2663
Mailing Address - Street 1:29361 MURRAY CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-1679
Mailing Address - Country:US
Mailing Address - Phone:248-470-2663
Mailing Address - Fax:248-706-6124
Practice Address - Street 1:29361 MURRAY CRESCENT DR
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-1679
Practice Address - Country:US
Practice Address - Phone:248-470-2663
Practice Address - Fax:248-706-6124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home