Healthcare Provider Details

I. General information

NPI: 1194433144
Provider Name (Legal Business Name): FAMILY 1ST HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2022
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 S FLORISSANT RD STE 10
SAINT LOUIS MO
63135-2733
US

IV. Provider business mailing address

103 S FLORISSANT RD STE 10
SAINT LOUIS MO
63135-2733
US

V. Phone/Fax

Practice location:
  • Phone: 314-384-9990
  • Fax: 314-228-1858
Mailing address:
  • Phone: 314-384-9990
  • Fax: 314-228-1858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: SHAMINE WHITING
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential:
Phone: 314-637-0652