1407509151 NPI number — FAMILY FIRST HOSPICE CARE, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407509151 NPI number — FAMILY FIRST HOSPICE CARE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FAMILY FIRST HOSPICE CARE, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407509151
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/02/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3111 SOUTH VALLEY VIEW BLVD
Provider Second Line Business Mailing Address:
SUITE A-206
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89102-8300
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-202-1282
Provider Business Mailing Address Fax Number:
702-202-1754

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3111 SOUTH VALLEY VIEW BLVD
Provider Second Line Business Practice Location Address:
SUITE A-206
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89102-8300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-202-1282
Provider Business Practice Location Address Fax Number:
702-202-1754
Provider Enumeration Date:
02/02/2022

Additional Information

Authorized Official

Authorized Official Last Name:
CALDERON
Authorized Official First Name:
MARY VIRGINIA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER / ADMINISTRATOR
Authorized Official Telephone Number:
702-202-1282

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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