Provider Demographics
NPI:1407509151
Name:FAMILY FIRST HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:FAMILY FIRST HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-202-1282
Mailing Address - Street 1:3111 SOUTH VALLEY VIEW BLVD
Mailing Address - Street 2:SUITE A-206
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-8300
Mailing Address - Country:US
Mailing Address - Phone:702-202-1282
Mailing Address - Fax:702-202-1754
Practice Address - Street 1:3111 SOUTH VALLEY VIEW BLVD
Practice Address - Street 2:SUITE A-206
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-8300
Practice Address - Country:US
Practice Address - Phone:702-202-1282
Practice Address - Fax:702-202-1754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based