Healthcare Provider Details
I. General information
NPI: 1801110648
Provider Name (Legal Business Name): PEOPLE FIRST HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/23/2010
Last Update Date: 03/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
828 N 27TH ST
RICHMOND VA
23223-6508
US
IV. Provider business mailing address
828 N 27TH ST
RICHMOND VA
23223-6508
US
V. Phone/Fax
- Phone: 804-263-1660
- Fax:
- Phone: 804-263-1660
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385HR2065X |
| Taxonomy | Child Physical Disabilities Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MONCHELLE
SHERRI
HICKS
Title or Position: OWNER
Credential:
Phone: 804-263-1663