MEDICARE: FIRST ATLANTIC HOMECARE SERVICES CORPORATION

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	009511	TX
2	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1528107992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST ATLANTIC HOMECARE SERVICES CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 218
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76503
Country	:	US
Telephone Number	:	254-773-6020
Fax Number	:	254-773-6080

Provider Business Practice Location Address
First Line	:	619 N 3RD ST
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76501-3156
Country	:	US
Telephone Number	:	254-773-6020
Fax Number	:	254-773-6080

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

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	09/10/2025

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