Healthcare Provider Details

I. General information

NPI: 1851453963
Provider Name (Legal Business Name): FIRST CARE HOME SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 NE 163RD ST #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 Number299992562
License Number StateFL

VIII. Authorized Official

Name: CLAUDIA MCLEAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-945-9025