Provider Demographics
NPI:1811123482
Name:FAMILY FIRST HOME CARE, LLC
Entity type:Organization
Organization Name:FAMILY FIRST HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:LEMONDS
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:910-576-2273
Mailing Address - Street 1:521 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NC
Mailing Address - Zip Code:27371-2709
Mailing Address - Country:US
Mailing Address - Phone:910-576-2273
Mailing Address - Fax:910-576-2270
Practice Address - Street 1:521 N MAIN ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NC
Practice Address - Zip Code:27371-2709
Practice Address - Country:US
Practice Address - Phone:910-576-2273
Practice Address - Fax:910-576-2270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409655Medicaid
NC6601043Medicaid