First Family Trust Healthcare Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

197608906 Issued in CA

Legal business name

FIRST FAMILY TRUST HEALTHCARE SERVICES

Doing business as

First Family Trust Senior Care

Practice address

18926 Wyandotte St
Reseda, CA 91335-2658

Phone

(818) 578-6405

Fax

(818) 578-6405

NPI assigned

Mar 10, 2015

Last updated

Mar 10, 2015By 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

Mr. Daniel Ikhide Imoesiri Sr.NPI 1427441567

Title

President/C.E.O.

Phone

(818) 629-8678

Specialties & licenses 1

Addresses

Other names 1

• First Family Trust Senior Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Imoesiri

  • Case Manager/Care Coordinator
  • Reseda, CA
  • NPI 1427441567
  NPD (past) Authorized official

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1982097358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 572362",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913572362",
            "telephone_number": "818-629-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18926 WYANDOTTE ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352658",
            "telephone_number": "818-578-6405",
            "fax_number": "818-578-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST FAMILY TRUST HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "IMOESIRI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "IKHIDE",
        "authorized_official_title_or_position": "PRESIDENT/C.E.O.",
        "authorized_official_telephone_number": "818-629-8678",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "197608906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Family Trust Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Reseda, CA
• Providers in Reseda, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.