Healthcare Provider Details
I. General information
NPI: 1295532554
Provider Name (Legal Business Name): FAMILY FIRST CAREGIVERS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/25/2025
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
253 SILO LOOP
FAIRHOPE AL
36532-5252
US
IV. Provider business mailing address
253 SILO LOOP
FAIRHOPE AL
36532-5252
US
V. Phone/Fax
- Phone: 251-366-1766
- Fax:
- Phone: 251-366-1766
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
DESTINY
GILL
Title or Position: OWNER
Credential: RN
Phone: 251-366-1766