Provider Demographics
NPI:1790376408
Name:FAMILY FIRST IN HOME CARE SERVICES INC
Entity Type:Organization
Organization Name:FAMILY FIRST IN HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:K
Authorized Official - Last Name:MELEKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-257-9719
Mailing Address - Street 1:1500 S. HWY 49 SUITE 101
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:CA
Mailing Address - Zip Code:95642
Mailing Address - Country:US
Mailing Address - Phone:209-257-0719
Mailing Address - Fax:209-217-8293
Practice Address - Street 1:1500 S. HWY 49 SUITE 101
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:CA
Practice Address - Zip Code:95642
Practice Address - Country:US
Practice Address - Phone:209-257-0719
Practice Address - Fax:209-217-8293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-27
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty