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NPI Code Detail

MEDICARE: FIRST TRUST HOME CARE LLC

MEDICARE: FIRST TRUST HOME CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1053198309
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST TRUST HOME CARE LLC
Provider Business Mailing Address
First Line : 6276 SADDLETREE DR
Second Line :
City : ZIONSVILLE
State : IN
Zip : 46077-8257
Country : US
Telephone Number : 317-450-4949
Fax Number :
Provider Business Practice Location Address
First Line : 3901 W 86TH ST STE 360
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-1799
Country : US
Telephone Number : 317-450-4949
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MARIAM KANNEH
Credential :
Telephone Number : 317-450-4949
Provider Enumeration Date : 09/11/2023
Last Update Date : 09/11/2023

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Directions to “FIRST TRUST HOME CARE LLC ” Practice Location

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