Family Friendly Care Home LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

FAMILY FRIENDLY CARE HOME LLC

Doing business as

Family Friendly Care Home

Practice address

3784 Edison Ave
Las Vegas, NV 89121-3407

Phone

(702) 586-0710

Fax

(702) 586-0710

NPI assigned

Mar 15, 2023

Last updated

Jan 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dirk Benedict Mayandia

Title

Manager

Phone

(702) 782-7265

Specialties & licenses 1

Addresses

Other names 1

• Family Friendly Care Home Doing business as

Tax ID family

Family Friendly Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family Friendly Care Home LLC

  dba Family Friendly Care Home

  • Custodial Care Facility
  • Las Vegas, NV
  • NPI 1437010915
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Myrna Basham

  • Personal Care Attendant
  • Las Vegas, NV
  • NPI 1629692975
  NPD

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1578264685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3784 EDISON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213407",
            "telephone_number": "702-586-0710",
            "fax_number": "702-586-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3784 EDISON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213407",
            "telephone_number": "702-586-0710",
            "fax_number": "702-586-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FRIENDLY CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "MAYANDIA",
        "authorized_official_first_name": "DIRK",
        "authorized_official_middle_name": "BENEDICT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-782-7265"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Friendly Care Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Friendly Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family First Medical LLC
• Family Fitness
• Family Flow Strategies 2 LLC
• Family Flow Strategies LLC
• Family Friendly Care Home LLC (Family Friendly Care Home)
• Family Guidance & Wellness Network
• Family Health Care Services, Inc
• Family Health Clinic
• Family Health Primary Care LLC
• Family Health Wellness Center LLC

• Custodial Care Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Custodial Care Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.