Healthcare Provider Details

I. General information

NPI: 1265341812
Provider Name (Legal Business Name): FAMILY FIRST CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25101 THE OLD RD STE 205
SANTA CLARITA CA
91381-2206
US

IV. Provider business mailing address

25101 THE OLD RD STE 205
SANTA CLARITA CA
91381-2206
US

V. Phone/Fax

Practice location:
  • Phone: 661-502-1858
  • Fax: 561-709-4680
Mailing address:
  • Phone: 661-502-1858
  • Fax: 561-709-4680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JAKE LEE EHRHARDT
Title or Position: DIRECTOR
Credential: HCA
Phone: 661-338-4006