Healthcare Provider Details

I. General information

NPI: 1568817427
Provider Name (Legal Business Name): FAMILY FIRST HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2016
Last Update Date: 04/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 N. CASSADY AVENUE
BEXLEY OH
43209
US

IV. Provider business mailing address

526 N. CASSADY AVENUE
BEXLEY OH
43209
US

V. Phone/Fax

Practice location:
  • Phone: 614-504-3344
  • Fax: 614-583-9537
Mailing address:
  • Phone: 614-504-3344
  • Fax: 614-583-9537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JILL SPENCE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 614-404-6507