MEDICARE: FIRST HOME HEALTH CARE SERVICES

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
1	251E00000X	Home Health Agency	1010437	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1010437	OTHER	IL	STATE LICENSE

General Provider Information

NPI Number	:	1114906047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST HOME HEALTH CARE SERVICES

Provider Business Mailing Address
First Line	:	14730 KILBOURNE AVE
Second Line	:
City	:	MIDLOTHIAN
State	:	IL
Zip	:	60445-3282
Country	:	US
Telephone Number	:	708-535-8609
Fax Number	:	708-535-8749

Provider Business Practice Location Address
First Line	:	14730 KILBOURNE AVE
Second Line	:
City	:	MIDLOTHIAN
State	:	IL
Zip	:	60445-3282
Country	:	US
Telephone Number	:	708-535-8609
Fax Number	:	708-535-8749

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. MARYANN MARTHA SLAMA
Credential	:	RN BSN MS
Telephone Number	:	708-535-8609

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	08/22/2020

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Directions to “FIRST HOME HEALTH CARE SERVICES ” Practice Location

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