Healthcare Provider Details

I. General information

NPI: 1306738893
Provider Name (Legal Business Name): FAMILY FIRST HOMECARE TEAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4144 LINDELL BLVD STE 130
SAINT LOUIS MO
63108-2966
US

IV. Provider business mailing address

4144 LINDELL BLVD STE 130
SAINT LOUIS MO
63108-2966
US

V. Phone/Fax

Practice location:
  • Phone: 314-875-0054
  • Fax: 314-875-0056
Mailing address:
  • Phone: 314-875-0054
  • Fax: 314-875-0056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MISS MONICA LYNN HARRIS
Title or Position: OWNER
Credential:
Phone: 314-875-0054