MEDICARE: FIRST ASSIST HEALTH CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	362903	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3654055	OTHER	OH	STNA AND HHA TRAINING
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356709414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST ASSIST HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	6118 MARK DR
Second Line	:
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-3923
Country	:	US
Telephone Number	:	216-849-2480
Fax Number	:

Provider Business Practice Location Address
First Line	:	5432 MAYFIELD RD STE 205
Second Line	:
City	:	LYNDHURST
State	:	OH
Zip	:	44124-2930
Country	:	US
Telephone Number	:	440-421-9256
Fax Number	:	216-352-0100

Authorized Official
Title or Position	:	OWNER
Name	:	ASIA L FOUNTAIN
Credential	:	RN, BSN, MSM
Telephone Number	:	216-849-2480

Provider Enumeration Date	:	02/04/2016
Last Update Date	:	12/02/2020

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Directions to “FIRST ASSIST HEALTH CARE, LLC ” Practice Location

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