Healthcare Provider Details

I. General information

NPI: 1528107992
Provider Name (Legal Business Name): FIRST ATLANTIC HOMECARE SERVICES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 N 3RD ST
TEMPLE TX
76501-3156
US

IV. Provider business mailing address

PO BOX 218
TEMPLE TX
76503
US

V. Phone/Fax

Practice location:
  • Phone: 254-773-6020
  • Fax: 254-773-6080
Mailing address:
  • Phone: 254-773-6020
  • Fax: 254-773-6080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number009511
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. OBBY O O NWABUKO
Title or Position: CHIEF FINANCIAL OFFICER ALT ADMIN
Credential: PHD
Phone: 254-773-6020