Healthcare Provider Details

I. General information

NPI: 1093400053
Provider Name (Legal Business Name): FAMILY FIRST HOME AND HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 04/06/2023
Certification Date: 04/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26534 E INDORE AVE
AURORA CO
80016-5472
US

IV. Provider business mailing address

26534 E INDORE AVE
AURORA CO
80016-5472
US

V. Phone/Fax

Practice location:
  • Phone: 571-482-0442
  • Fax:
Mailing address:
  • Phone: 571-482-0442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. HIWOT DINKU
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 571-482-0442