Family First Home Care

Key facts

NPI

1821845447

Entity type

Organization (NPI type 2)

Primary specialty

Home Health Agency 251E00000X

Legal business name

FAMILY FIRST HOME CARE

Practice address

4225 Executive SQ Ste 600
La Jolla, CA 92037-1484

Phone

(619) 371-2552

NPI assigned

May 1, 2024

Organization subpart

No

Authorized official

Name

Prudencia Volletia Henderson

Title

Ceo

Phone

(619) 371-2552

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 1, 2024.

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1821845447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 EXECUTIVE SQ STE 600",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371484",
            "telephone_number": "619-371-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 EXECUTIVE SQ STE 600",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371484",
            "telephone_number": "619-371-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "PRUDENCIA",
        "authorized_official_middle_name": "VOLLETIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-371-2552"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in La Jolla, CA · Home Health Agency in California