Organization Active NPI

First Family Assisted Living, LLC

Doing business as First Family Living

  • Assisted Living Facility
  • Baltimore, MD
National Provider Identifier
1275315756
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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"
        }
    ]
}

Other providers in Baltimore, MD

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.

Verify at the official NPI Registry.