MEDICARE: FAMILIES COME FIRST

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	253Z00000X	In Home Supportive Care Agency	30211474	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	30211474	OTHER	FL	LICENSE NUMBER

General Provider Information

NPI Number	:	1346632866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILIES COME FIRST

Provider Business Mailing Address
First Line	:	220 S PINE AVE
Second Line	:
City	:	INVERNESS
State	:	FL
Zip	:	34452-4838
Country	:	US
Telephone Number	:	352-419-6508
Fax Number	:	352-419-6510

Provider Business Practice Location Address
First Line	:	220 S PINE AVE
Second Line	:
City	:	INVERNESS
State	:	FL
Zip	:	34452-4838
Country	:	US
Telephone Number	:	352-419-6508
Fax Number	:	352-419-6510

Authorized Official
Title or Position	:	ADMINISTRATOR/MG MEMBER
Name	:	JANICE SMITH
Credential	:
Telephone Number	:	352-419-6508

Provider Enumeration Date	:	02/20/2015
Last Update Date	:	02/20/2015

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Directions to “FAMILIES COME FIRST ” Practice Location

Language	Start Address	Practice Location

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