Family First Group Home LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

FAMILY FIRST GROUP HOME LLC

Practice address

5230 17TH Ave N FL 33710
St Petersburg, FL 33710-5102

Phone

(813) 400-8646

Fax

(813) 870-4000

NPI assigned

Aug 29, 2025

Last updated

Aug 29, 2025By 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

Mary Grace Nichols

Title

Owner/Administrator

Phone

(813) 400-8646

Specialties & licenses 1

Addresses

Other names 1

• Family First Group Home Former legal business name

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1720967037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 17TH AVE N FL 33710",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105102",
            "telephone_number": "813-400-8646",
            "fax_number": "813-870-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 17TH AVE N FL 33710",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105102",
            "telephone_number": "813-400-8646",
            "fax_number": "813-870-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "MARY GRACE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "813-400-8646"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family First Group Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Intellectual Disabilities Intermediate Care Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Intellectual Disabilities Intermediate Care Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.