Provider Demographics
NPI:1932422409
Name:FAMILY FIRST HOME CARE & COMPANIONSHIP SERVICES
Entity Type:Organization
Organization Name:FAMILY FIRST HOME CARE & COMPANIONSHIP SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:NADEGE
Authorized Official - Middle Name:
Authorized Official - Last Name:THIMOTUS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:732-900-0014
Mailing Address - Street 1:1139 EAST JERSEY STREET
Mailing Address - Street 2:SUITE 504
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07201
Mailing Address - Country:US
Mailing Address - Phone:732-900-0014
Mailing Address - Fax:732-960-8607
Practice Address - Street 1:1139 E JERSEY ST
Practice Address - Street 2:SUITE 504
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201-2473
Practice Address - Country:US
Practice Address - Phone:732-900-0014
Practice Address - Fax:732-960-8607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJCF0440100251C00000X, 251S00000X, 253Z00000X, 347C00000X, 385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle