Healthcare Provider Details

I. General information

NPI: 1730915562
Provider Name (Legal Business Name): FIRST CONTACT HOMECARE AND STAFFING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3836 S 64TH DR
PHOENIX AZ
85043-0129
US

IV. Provider business mailing address

3836 S 64TH DR
PHOENIX AZ
85043-0129
US

V. Phone/Fax

Practice location:
  • Phone: 480-698-1927
  • Fax:
Mailing address:
  • Phone: 480-698-1927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: SANDRA NMESOMA OSUALA
Title or Position: OWNER
Credential: HOMECARE
Phone: 480-698-1927