Family First Congregated Living Facility Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

FAMILY FIRST CONGREGATED LIVING FACILITY INC

Practice address

329 Yosemite Ave
Perris, CA 92570-8674

Phone

(951) 940-9011

NPI assigned

May 21, 2021

Organization subpart

No

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

Authorized official

Name

Eric Tyler

Title

Ceo

Phone

(951) 940-9011

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1760057780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13089 PEYTON DR # C316",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096018",
            "telephone_number": "951-940-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 YOSEMITE AVE",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925708674",
            "telephone_number": "951-940-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST CONGREGATED LIVING FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-940-9011"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maged Maher Estafan, MD
• Isla Brillit Eustaquio
• Extra Mile Care Transportation
• Extraordinary Living GP
• Shamon Fairman Campos
• Famous House
• Julia Fanua
• Janel Marie Faulks, MSW
• Elizabeth Hernandez Felix
• Rachelle Felix

• Nursing Care Agency in Perris, CA
• Providers in Perris, CA by specialty
• Nursing Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.