FAMILY FIRST RESIDENTIAL HOME (NPI# 1568003176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568003176 |
| Entity Type | Organization |
| Organization Name | FAMILY FIRST RESIDENTIAL HOME |
| Practice Address |
5389 N Angus St Fresno CA 93710-7014 |
| Practice Telephone | 5597972688 |
| Mailing Telephone | 5597972688 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |
| Authorized Official Name | EARLISHA RUTHIE SIMMONS (OPERATING DIRECTOR) |
| Authorized Official Telephone | 5597972688 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Street Address |
5389 N ANGUS ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-7014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699310425 | Attentive Senior Care 11, LLC | Custodial Care Facility | 6149 E Lowe Ave, Fresno, CA 93727-5652 | 2019-11-15 |
| 1710443320 | Blossom Haven, Inc | Custodial Care Facility | 6618 E Harwood Ave, Fresno, CA 93727-6566 | 2019-02-19 |
| 1477921443 | Elizabeth Sarkis | Custodial Care Facility | 787 E Minarets Ave, Fresno, CA 93720-3009 | 2015-09-09 |
| 1295113819 | Attentive Senior Care, LLC | Custodial Care Facility | 36 E Tuolumne St, Fresno, CA 93706-2651 | 2015-05-14 |
| 1356581318 | Angeline Home Care | Custodial Care Facility | 2834 E Michigan Ave, Fresno, CA 93703-1136 | 2009-03-03 |
| 1205930856 | Davis Group Homes | Custodial Care Facility | 4468 N Hazel Ave, Fresno, CA 93722-4122 | 2006-09-12 |
| 1114021763 | Pacific Care Homes | Custodial Care Facility | 3107 W Gettysburg Ave, Fresno, CA 93722 | 2006-09-12 |
| 1891800496 | Fort Bend County Adult Day Care, LLC | Custodial Care Facility | 4402 Mistletoe Ln, Fresno, TX 77545-7878 | 2006-08-21 |
| 1790013019 | Vikem Home & Health Services | Custodial Care Facility | 4507 Twin Elm Dr, Fresno, TX 77545-9535 | 2009-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457450 | Dellbrook Guest Home | Custodial Care Facility | 13731 Dellbrook St, Eastvale, CA 92880-5521 | 2020-11-05 |
| 1891395547 | Accuro Homes II | Custodial Care Facility | 13172 Early Crimson St, Eastvale, CA 92880-4609 | 2020-10-30 |
| 1689274508 | Najeh Hamed | Custodial Care Facility | 5336 Bardwell Ave, Riverside, CA 92506-1517 | 2020-10-29 |
| 1912505868 | Majestic Senior Living Inc. | Custodial Care Facility | 25141 Highspring Ave, Newhall, CA 91321-3415 | 2020-10-13 |
| 1003413873 | Aury Mcdaniel | Custodial Care Facility | 1068 Camino Miel, Chula Vista, CA 91910-8712 | 2020-10-05 |
| 1407462104 | Good Samaritan Healing Center LLC | Custodial Care Facility | 229 S Chester Ave, Bakersfield, CA 93304-3648 | 2020-09-17 |
| 1245844174 | Robert Alexander Risinger | Custodial Care Facility | 3002 Freeborn St, Duarte, CA 91010-1507 | 2020-09-08 |
| 1720690217 | D&c Angels Home Care LLC | Custodial Care Facility | 1859 Shedden Dr, Loma Linda, CA 92354-1794 | 2020-08-18 |
| 1104464163 | Arveah's Care Homes, LLC | Custodial Care Facility | 45 E Ramsey Dr, Mountain House, CA 95391-8813 | 2019-12-20 |
| 1578104717 | Villa Ambrosia, Inc | Custodial Care Facility | 1537 Brighton Glen Rd, San Marcos, CA 92078-5495 | 2019-09-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.