Provider Demographics
NPI:1467618074
Name:FAMILY FIRST ALF, INC.
Entity Type:Organization
Organization Name:FAMILY FIRST ALF, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YULEIDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIEDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-720-9965
Mailing Address - Street 1:15600 SW 143 AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177
Mailing Address - Country:US
Mailing Address - Phone:305-720-9965
Mailing Address - Fax:305-252-1805
Practice Address - Street 1:15600 SW 143 AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177
Practice Address - Country:US
Practice Address - Phone:305-720-9965
Practice Address - Fax:305-252-1805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-03
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000578300Medicaid