Healthcare Provider Details

I. General information

NPI: 1689136640
Provider Name (Legal Business Name): FAMILY FIRST HOME HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2019
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15317 PARAMOUNT BLVD STE 201
PARAMOUNT CA
90723-4358
US

IV. Provider business mailing address

15317 PARAMOUNT BLVD STE 201
PARAMOUNT CA
90723-4358
US

V. Phone/Fax

Practice location:
  • Phone: 562-363-3014
  • Fax: 562-363-3015
Mailing address:
  • Phone: 562-363-3014
  • Fax: 562-363-3015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL DONATO FESTEJO
Title or Position: SECRETARY/BOARD MEMBER/CARE COORD.
Credential:
Phone: 562-363-3014