Healthcare Provider Details

I. General information

NPI: 1427870492
Provider Name (Legal Business Name): FAMILY FIRST HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2024
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8750 NW 36TH ST STE 630
DORAL FL
33178-2440
US

IV. Provider business mailing address

2203 N LOIS AVE SUITE 700
TAMPA FL
33607-2388
US

V. Phone/Fax

Practice location:
  • Phone: 305-419-5866
  • Fax: 305-419-5867
Mailing address:
  • Phone: 813-850-0042
  • Fax: 813-850-0043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: EMMA DE JESUS
Title or Position: CREDENTIALING DIRECTOR
Credential:
Phone: 813-850-0042