Provider Demographics
NPI:1629503891
Name:FAMILY FIRST HOME CARE
Entity Type:Organization
Organization Name:FAMILY FIRST HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:SHALIKA
Authorized Official - Middle Name:NIKOLA
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-835-3822
Mailing Address - Street 1:4425 MAYFIELD RD STE 8
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-3619
Mailing Address - Country:US
Mailing Address - Phone:216-835-3822
Mailing Address - Fax:216-848-0684
Practice Address - Street 1:4425 MAYFIELD RD STE 8
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-3619
Practice Address - Country:US
Practice Address - Phone:216-835-3822
Practice Address - Fax:216-848-0684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH296782760OtherHOME CARE PROVIDER