Healthcare Provider Details

I. General information

NPI: 1730361643
Provider Name (Legal Business Name): FIRST HOME HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2007
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 E 2ND STE D
ALICE TX
78332-4806
US

IV. Provider business mailing address

PO BOX 1877
ALICE TX
78333-1877
US

V. Phone/Fax

Practice location:
  • Phone: 361-396-0902
  • Fax: 361-396-0982
Mailing address:
  • Phone: 361-396-0902
  • Fax: 361-396-0982

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

VIII. Authorized Official

Name: MR. CARL G MATHEWS
Title or Position: OWNER/MEMBER
Credential:
Phone: 361-396-0902