MEDICARE: 1ST CALL HOME HEALTHCARE, 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1477685048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1ST CALL HOME HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	22367 STARKS DR
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48036-1197
Country	:	US
Telephone Number	:	248-712-4854
Fax Number	:	248-712-4891

Provider Business Practice Location Address
First Line	:	22367 STARKS DR
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48036-1197
Country	:	US
Telephone Number	:	248-712-4854
Fax Number	:	586-630-3021

Authorized Official
Title or Position	:	OWNER / BOARD MEMBER
Name	:	MR. JASON DAVID GROTH
Credential	:
Telephone Number	:	586-709-2314

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	09/11/2024

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