Healthcare Provider Details

I. General information

NPI: 1205361045
Provider Name (Legal Business Name): FIRSTHAND CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2017
Last Update Date: 05/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6181 MAYFIELD RD STE 204
MAYFIELD HEIGHTS OH
44124-3222
US

IV. Provider business mailing address

6181 MAYFIELD ROAD SUITE 204
MAYFIELD HEIGHTS OH
44124-3222
US

V. Phone/Fax

Practice location:
  • Phone: 440-459-2049
  • Fax: 440-459-2061
Mailing address:
  • Phone: 440-459-2049
  • Fax: 440-459-2061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1827858
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number1827858
License Number StateOH

VIII. Authorized Official

Name: FELECIA CARRINGTON
Title or Position: PRESIDENT
Credential:
Phone: 216-543-3682