Healthcare Provider Details

I. General information

NPI: 1295501161
Provider Name (Legal Business Name): FIRST CLASS HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2023
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4050 W RIDGE RD STE 118
ROCHESTER NY
14626-3528
US

IV. Provider business mailing address

PO BOX 93
HILTON NY
14468-0093
US

V. Phone/Fax

Practice location:
  • Phone: 585-727-9294
  • Fax:
Mailing address:
  • Phone: 585-727-9294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: TARSHIA FRANKLIN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 585-727-9294