Provider Demographics
NPI:1629676697
Name:FAMILY FIRST HOMECARE OF TEXAS LLC
Entity Type:Organization
Organization Name:FAMILY FIRST HOMECARE OF TEXAS LLC
Other - Org Name:FAMILY FIRST HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:DE JESUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-850-0042
Mailing Address - Street 1:2203 N LOIS AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-2387
Mailing Address - Country:US
Mailing Address - Phone:800-431-0706
Mailing Address - Fax:800-401-6576
Practice Address - Street 1:2626 S LOOP W STE 423
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2641
Practice Address - Country:US
Practice Address - Phone:832-690-3430
Practice Address - Fax:832-690-3431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care