Provider Demographics
NPI:1336816545
Name:FAMILY FIRST HOMECARE INC DBA VISITING ANGELS OF NORTH MISSISSIPPI
Entity Type:Organization
Organization Name:FAMILY FIRST HOMECARE INC DBA VISITING ANGELS OF NORTH MISSISSIPPI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-322-8706
Mailing Address - Street 1:344 N SPRING ST
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38804-3955
Mailing Address - Country:US
Mailing Address - Phone:662-322-8706
Mailing Address - Fax:662-404-7022
Practice Address - Street 1:344 N SPRING ST
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38804-3955
Practice Address - Country:US
Practice Address - Phone:662-322-8706
Practice Address - Fax:662-404-7022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care