Active NPI
Family First Home Health Care Inc
- In Home Supportive Care Agency
- Gastonia, NC
National Provider Identifier
1447507835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- FAMILY FIRST HOME HEALTH CARE INC
- Practice address
- 1120 Union Rd Ste C
Gastonia, NC 28054-6800 - Phone
- (704) 215-5394
- Fax
- (980) 320-8031
- NPI assigned
- Aug 6, 2012
- 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
- Marion Temeeta James
- Title
- President
- Phone
- (704) 215-5394
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC4561 | NC | |
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Private Vehicle | 347C00000X | HC4561 | NC | |
| Respite Care | 385H00000X | HC4561 | NC |
Addresses
Primary practice location
1120 Union Rd Ste C
Gastonia, NC 28054-6800
Mailing address
1120 Union Rd Ste C
Gastonia, NC 28054-6800
Phone (704) 215-5394
Other names 1
- Family First Home Care Agency
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210218001835 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 0648685925 | Practice locations: Gastonia, NC |
National Provider Directory
National Provider DirectoryLocations
1120 Union Rd
Ste C
Gastonia, NC 28054
Phone (704) 215-5394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628121600000",
"number": "1447507835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 UNION RD STE C",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280546800",
"telephone_number": "704-215-5394",
"fax_number": "980-320-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 UNION RD STE C",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280546800",
"telephone_number": "704-215-5394",
"fax_number": "980-320-8031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY FIRST HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-06",
"last_updated": "2021-08-05",
"certification_date": "2021-03-31",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "MARION",
"authorized_official_middle_name": "TEMEETA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-215-5394"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC4561",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NC",
"license": "HC4561",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NC",
"license": "HC4561",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family First Home Care Agency",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.