Healthcare Provider Details

I. General information

NPI: 1366403362
Provider Name (Legal Business Name): FIRST CARE HOME SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 NE 163RD ST SUITE 303
NORTH MIAMI BEACH FL
33162-4951
US

IV. Provider business mailing address

PO BOX 640342
MIAMI FL
33164-0342
US

V. Phone/Fax

Practice location:
  • Phone: 305-945-9025
  • Fax: 305-945-9022
Mailing address:
  • Phone: 305-945-9025
  • Fax: 305-945-9022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: CLAUDIA WILLIAMS
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 305-945-9025