Active NPI
Family 1St of Virginia Home Healthcare LLC
- Home Health Aide
- Henrico, VA
National Provider Identifier
1013698893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- FAMILY 1ST OF VIRGINIA HOME HEALTHCARE LLC
- Doing business as
- Family 1st Home Health
- Practice address
- 1403 Pemberton Rd Ste 306
Henrico, VA 23238-4474 - Phone
- (804) 416-6831
- Fax
- (804) 416-6823
- NPI assigned
- Jul 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Thomas Gough Jr.
- Title
- Owner/Adminstrator
- Phone
- (804) 986-6431
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice Registered Nurse | 163WH1000X | |||
| Wound Care Registered Nurse | 163WW0000X | |||
| Adult Companion | 372600000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X | Primary | ||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
1403 Pemberton Rd Ste 306
Henrico, VA 23238-4474
Mailing address
1403 Pemberton Rd Ste 306
Henrico, VA 23238-4474
Phone (804) 416-6831
Other names 1
- Family 1st Home Health
National Provider Directory
National Provider DirectoryLocations
1403 Pemberton Rd
Ste 306
Richmond, VA 23238
Phone (804) 741-7500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690848000000",
"number": "1013698893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 PEMBERTON RD STE 306",
"city": "HENRICO",
"state": "VA",
"postal_code": "232384474",
"telephone_number": "804-416-6831",
"fax_number": "804-416-6823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 PEMBERTON RD STE 306",
"city": "HENRICO",
"state": "VA",
"postal_code": "232384474",
"telephone_number": "804-416-6831",
"fax_number": "804-416-6823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY 1ST OF VIRGINIA HOME HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-26",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A",
"authorized_official_last_name": "GOUGH",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "OWNER/ADMINSTRATOR",
"authorized_official_telephone_number": "804-986-6431",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "163WH1000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Hospice",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family 1st Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.