NPIMap

Organization Active NPI

Family First Staffing Agency

  • Home Health Agency
  • Cocoa, FL
National Provider Identifier
1588028385
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
L16000053720 Issued in FL
Legal business name
FAMILY FIRST STAFFING AGENCY
Practice address
1811 N Cocoa Blvd Ste B
Cocoa, FL 32922-6939
Phone
(321) 917-1066
NPI assigned
Apr 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Shykina Tyeisha Bartley, LPN
Title
Owner/Manager
Phone
(321) 917-1066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X L16000053720 FL Primary

Addresses

Primary practice location

1811 N Cocoa Blvd Ste B
Cocoa, FL 32922-6939

Mailing address

1811 N Cocoa Blvd Ste B
Cocoa, FL 32922-6939
Phone (321) 917-1066

National Provider Directory

National Provider Directory

Locations

1811 N Cocoa Blvd
Ste B
Cocoa, FL 32922
Phone (321) 917-1066

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1588028385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 N COCOA BLVD STE B",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226939",
            "telephone_number": "321-917-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 N COCOA BLVD STE B",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226939",
            "telephone_number": "321-917-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST STAFFING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "BARTLEY",
        "authorized_official_first_name": "SHYKINA",
        "authorized_official_middle_name": "TYEISHA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "321-917-1066",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "L16000053720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.