Provider Demographics
NPI:1942451752
Name:FAMILY FIRST HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:FAMILY FIRST HOME HEALTH CARE INC.
Other - Org Name:PRESTIGE HOME HEALTH CARE INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-922-8885
Mailing Address - Street 1:ONE HERITAGE DRIVE
Mailing Address - Street 2:SUITE 440
Mailing Address - City:SOUTHGATE
Mailing Address - State:MI
Mailing Address - Zip Code:48195-3050
Mailing Address - Country:US
Mailing Address - Phone:313-922-8885
Mailing Address - Fax:313-922-8188
Practice Address - Street 1:1 HERITAGE DR
Practice Address - Street 2:SUITE 440
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-3094
Practice Address - Country:US
Practice Address - Phone:313-922-8885
Practice Address - Fax:313-922-8188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
239037Medicare PIN