Family First Care Services, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

FAMILY FIRST CARE SERVICES, LLC

Practice address

23760 Raven Ave
Eastpointe, MI 48021-3406

Phone

(586) 219-5132

NPI assigned

Jan 10, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Arlene Tacy Walczak

Title

Ceo

Phone

(586) 219-5132

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231545600000",
    "number": "1134366339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480800692",
            "telephone_number": "586-219-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23760 RAVEN AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213406",
            "telephone_number": "586-219-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-10",
        "last_updated": "2009-01-10",
        "status": "A",
        "authorized_official_last_name": "WALCZAK",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "TACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-219-5132"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Developmentally Disabled Services Day Training Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.