Healthcare Provider Details

I. General information

NPI: 1780823377
Provider Name (Legal Business Name): FIRST CARE HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2009
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1999 WABASH AVE STE 103
SPRINGFIELD IL
62704-5375
US

IV. Provider business mailing address

3010 LYNDON B JOHNSON FWY STE 1100
DALLAS TX
75234-2712
US

V. Phone/Fax

Practice location:
  • Phone: 217-718-4889
  • Fax: 217-679-2076
Mailing address:
  • Phone: 800-379-1600
  • Fax: 903-537-8420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KATIE MONASTIERE
Title or Position: COMPLIANCE, PRIVACY & SAFETYOFFICER
Credential:
Phone: 800-379-1600