MEDICARE: FAMILY FIRST NEMT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1124705132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY FIRST NEMT LLC

Provider Business Mailing Address
First Line	:	7865 W BELL RD
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-3803
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7865 W BELL RD # 1080
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-3803
Country	:	US
Telephone Number	:	450-285-7036
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JAWAN SNIDER
Credential	:
Telephone Number	:	480-285-7036

Provider Enumeration Date	:	06/30/2023
Last Update Date	:	03/15/2024

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