Healthcare Provider Details

I. General information

NPI: 1376259366
Provider Name (Legal Business Name): 1ST AMERICARE LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2023
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 STATE ST
NEW ALBANY IN
47150-3620
US

IV. Provider business mailing address

25156 RIDING CENTER DR
CHANTILLY VA
20152-6049
US

V. Phone/Fax

Practice location:
  • Phone: 732-277-8100
  • Fax: 571-639-4695
Mailing address:
  • Phone: 732-277-8100
  • Fax: 571-639-4695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANISH NAYAR
Title or Position: PARTNER
Credential: RN
Phone: 732-277-8100