NPIMap

Organization Active NPI

Family 1St Homecare LLC

  • In Home Supportive Care Agency
  • Collinsville, IL
National Provider Identifier
1154904191
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FAMILY 1ST HOMECARE LLC
Practice address
3 Wildridge CT
Collinsville, IL 62234-6870
Phone
(636) 757-3811
NPI assigned
Apr 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Tracey Berry
Title
Owner
Phone
(618) 567-1277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3 Wildridge CT
Collinsville, IL 62234-6870

Mailing address

3 Wildridge CT
Collinsville, IL 62234-6870
Phone (636) 757-3811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1154904191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WILDRIDGE CT",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622346870",
            "telephone_number": "636-757-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WILDRIDGE CT",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622346870",
            "telephone_number": "636-757-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY 1ST HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-567-1277"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.