Healthcare Provider Details

I. General information

NPI: 1740020056
Provider Name (Legal Business Name): FIRST CARE FAMILY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2024
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5430 W KAREN DR
GLENDALE AZ
85308-5375
US

IV. Provider business mailing address

5430 W KAREN DR
GLENDALE AZ
85308-5375
US

V. Phone/Fax

Practice location:
  • Phone: 480-431-7848
  • Fax:
Mailing address:
  • Phone: 480-431-7848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: FAHRIA NELSON
Title or Position: CEO
Credential:
Phone: 480-431-7848