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NPI Code Detail

MEDICARE: FAMILY FIRST HOMECARE OF NORTH CAROLINA LLC

MEDICARE: FAMILY FIRST HOMECARE OF NORTH CAROLINA 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
1251J00000XNursing Care Agency
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1386533644
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY FIRST HOMECARE OF NORTH CAROLINA LLC
Provider Business Mailing Address
First Line : 2203 N LOIS AVE STE 700
Second Line :
City : TAMPA
State : FL
Zip : 33607-2387
Country : US
Telephone Number : 813-850-0042
Fax Number : 813-850-0043
Provider Business Practice Location Address
First Line : 701 GREEN VALLEY RD STE 100
Second Line :
City : GREENSBORO
State : NC
Zip : 27408-7096
Country : US
Telephone Number : 336-833-1331
Fax Number : 336-833-1332
Authorized Official
Title or Position : CREDENTIALING DIRECTOR
Name : EMMA DE JESUS
Credential :
Telephone Number : 813-850-0042
Provider Enumeration Date : 07/01/2025
Last Update Date : 10/07/2025

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Directions to “FAMILY FIRST HOMECARE OF NORTH CAROLINA LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.