Provider Demographics
NPI:1538925250
Name:FIRST FAMILY HOME CARE LLC
Entity type:Organization
Organization Name:FIRST FAMILY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKOBAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:140-498-4273
Mailing Address - Street 1:PO BOX 965185
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-0004
Mailing Address - Country:US
Mailing Address - Phone:678-428-7272
Mailing Address - Fax:
Practice Address - Street 1:3137 WESLOCK CIR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-2930
Practice Address - Country:US
Practice Address - Phone:147-096-1530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home