Healthcare Provider Details

I. General information

NPI: 1265778799
Provider Name (Legal Business Name): FAMILY FIRST HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2013
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 N MAIN ST SUITE R-2
SUFFOLK VA
23434-4565
US

IV. Provider business mailing address

157 N MAIN ST STE R2
SUFFOLK VA
23434-4565
US

V. Phone/Fax

Practice location:
  • Phone: 757-925-3745
  • Fax: 757-925-3748
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. GENA L SMITH
Title or Position: OWNER
Credential:
Phone: 757-338-3334