NPIMap

Organization Active NPI

Family First Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1407509151
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FAMILY FIRST HOSPICE CARE, LLC
Practice address
3111 South Valley View Blvd
Suite a-206
Las Vegas, NV 89102-8300
Phone
(702) 202-1282
Fax
(702) 202-1754
NPI assigned
Feb 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Mary Virginia Calderon
Title
Owner / Administrator
Phone
(702) 202-1282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3111 South Valley View Blvd
Suite a-206
Las Vegas, NV 89102-8300

Mailing address

3111 South Valley View Blvd
Suite a-206
Las Vegas, NV 89102-8300
Phone (702) 202-1282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220412001160 NV Part A Provider - Hospice 3971999343 Practice locations: Las Vegas, NV

Hospice certification: CCN 291638

Legal name
FAMILY FIRST HOSPICE CARE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 30, 2023
Last certification
Mar 30, 2023
Organization structure
LLCProprietary
Incorporated
Nov 20, 2020 in NV
Enrollment address
3111 S Valley View Blvd
Ste A206
Las Vegas, NV 89102-8300

Care Compare: Hospice

Medicare Care Compare
Listed as
Family First Hospice Care LLCCCN 291638
Certified
Mar 30, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3111 S Valley View Blvd
Ste A206
Las Vegas, NV 89102
Phone (702) 202-1282

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard Calderon Individual 5% Or Greater Direct Ownership Interest Nov 20, 2020 50%
Corporate Officer Nov 20, 2020
Corporate Director Nov 20, 2020
W-2 Managing Employee Nov 20, 2020
Mary Calderon Individual 5% Or Greater Direct Ownership Interest Nov 20, 2020 50%
Corporate Officer Nov 20, 2020
Corporate Director Nov 20, 2020
W-2 Managing Employee Nov 20, 2020

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1407509151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 SOUTH VALLEY VIEW BLVD",
            "address_2": "SUITE A-206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028300",
            "telephone_number": "702-202-1282",
            "fax_number": "702-202-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 SOUTH VALLEY VIEW BLVD",
            "address_2": "SUITE A-206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028300",
            "telephone_number": "702-202-1282",
            "fax_number": "702-202-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "MARY VIRGINIA",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "702-202-1282"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.