Active NPI
First Family Assisted Living, LLC
Doing business as First Family Living
- Assisted Living Facility
- Baltimore, MD
National Provider Identifier
1275315756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- FIRST FAMILY ASSISTED LIVING, LLC
- Doing business as
- First Family Living
- Practice address
- 3603 Ailsa Ave
Baltimore, MD 21214-3029 - Phone
- (443) 690-5583
- NPI assigned
- Oct 18, 2023
- Last updated
- Oct 18, 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
- Ms. Lakeysha Jackson
- Title
- Manager
- Phone
- (443) 935-2979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
3603 Ailsa Ave
Baltimore, MD 21214-3029
Mailing address
3603 Ailsa Ave
Baltimore, MD 21214-3029
Phone (443) 690-5583
Other names 1
- First Family Living
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697587200000",
"number": "1275315756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3603 AILSA AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212143029",
"telephone_number": "443-690-5583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3603 AILSA AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212143029",
"telephone_number": "443-690-5583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST FAMILY ASSISTED LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-18",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "LAKEYSHA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "443-935-2979",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "First Family Living",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.