MEDICARE: FAMILIES FIRST HEALTH SERVICES

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1356711477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILIES FIRST HEALTH SERVICES

Provider Business Mailing Address
First Line	:	4401 ROCKSIDE RD STE 401
Second Line	:
City	:	INDEPENDENCE
State	:	OH
Zip	:	44131-2147
Country	:	US
Telephone Number	:	234-334-3293
Fax Number	:	234-208-8074

Provider Business Practice Location Address
First Line	:	4401 ROCKSIDE RD STE 401
Second Line	:
City	:	INDEPENDENCE
State	:	OH
Zip	:	44131-2147
Country	:	US
Telephone Number	:	202-300-6367
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GIAMAR GILCHRIST
Credential	:
Telephone Number	:	202-300-6367

Provider Enumeration Date	:	10/01/2015
Last Update Date	:	05/16/2023

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