Provider Demographics
NPI:1689136640
Name:FAMILY FIRST HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:FAMILY FIRST HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO/SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL KEITH
Authorized Official - Middle Name:DONATO
Authorized Official - Last Name:FESTEJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-363-3014
Mailing Address - Street 1:15317 PARAMOUNT BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-4358
Mailing Address - Country:US
Mailing Address - Phone:562-363-3014
Mailing Address - Fax:562-363-3015
Practice Address - Street 1:15317 PARAMOUNT BLVD STE 102
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-4358
Practice Address - Country:US
Practice Address - Phone:562-363-3014
Practice Address - Fax:562-363-3015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health