Provider Demographics
NPI:1649692351
Name:FAMILY FIRST HOSPICE, INC.
Entity type:Organization
Organization Name:FAMILY FIRST HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARC LESTER
Authorized Official - Middle Name:DONATO
Authorized Official - Last Name:FESTEJO
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:562-630-5300
Mailing Address - Street 1:15317 PARAMOUNT BLVD
Mailing Address - Street 2:STE 205
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-4338
Mailing Address - Country:US
Mailing Address - Phone:562-630-5300
Mailing Address - Fax:562-630-5301
Practice Address - Street 1:15317 PARAMOUNT BLVD
Practice Address - Street 2:STE 205
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-4338
Practice Address - Country:US
Practice Address - Phone:562-630-5300
Practice Address - Fax:562-630-5301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA751797Medicare Oscar/Certification