Organization Active NPI

Family First Residential Home

  • Adult Care Home Facility
  • Fresno, CA
National Provider Identifier
1568003176
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
FAMILY FIRST RESIDENTIAL HOME
Practice address
5389 N Angus St
Fresno, CA 93710-7014
Phone
(559) 797-2688
NPI assigned
Oct 4, 2019
Last updated
Oct 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Authorized official

Name
Earlisha Ruthie Simmons
Title
Operating Director
Phone
(559) 797-2688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

5389 N Angus St
Fresno, CA 93710-7014

Mailing address

5389 N Angus St
Fresno, CA 93710-7014
Phone (559) 797-2688

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1568003176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5389 N ANGUS ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107014",
            "telephone_number": "559-797-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5389 N ANGUS ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107014",
            "telephone_number": "559-797-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST RESIDENTIAL HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "EARLISHA",
        "authorized_official_middle_name": "RUTHIE",
        "authorized_official_title_or_position": "OPERATING DIRECTOR",
        "authorized_official_telephone_number": "559-797-2688"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.