Family First Assistance Living

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

172V00000X Issued in TX

Legal business name

FAMILY FIRST ASSISTANCE LIVING

Practice address

1041 E Powell St
Fort Worth, TX 76104

Phone

(682) 301-0158

NPI assigned

Jun 23, 2014

Organization subpart

No

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

Authorized official

Name

Alice Maudell Jones

Title

Owner

Phone

(682) 301-0158

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1902211519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 E POWELL ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "682-301-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E POWELL ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "682-301-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST ASSISTANCE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "MAUDELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-301-0158"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "TX",
            "license": "172V00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance McMahon Fales
• Niels Falk, LCSW
• Casey Eileen Fallman, FNP-C
• Tagan Fambrough
• Familia Care Inc
• Family Home Health Care, Inc.
• Family Matters Counseling Center
• Esther Opeyemi Famurewa, PHARMD
• Matthew Nan Fan, MD
• Timothy L Fancher, RPH

• Community Health Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Community Health Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.