Healthcare Provider Details

I. General information

NPI: 1780501593
Provider Name (Legal Business Name): FAMILY FIRST CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1223 S 42ND ST
KANSAS CITY KS
66106-1947
US

IV. Provider business mailing address

1223 S 42ND ST
KANSAS CITY KS
66106-1947
US

V. Phone/Fax

Practice location:
  • Phone: 816-868-6072
  • Fax:
Mailing address:
  • Phone: 816-868-6072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LILIANA GOMEZ
Title or Position: LPN
Credential: PN
Phone: 816-868-6072