MEDICARE: HOMEFIRST HEALTHCARE AGENCY 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	:	1790028223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMEFIRST HEALTHCARE AGENCY LLC

Provider Business Mailing Address
First Line	:	8513 OAKVIEW AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23228-2818
Country	:	US
Telephone Number	:	804-264-1659
Fax Number	:

Provider Business Practice Location Address
First Line	:	8513 OAKVIEW AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23228-2818
Country	:	US
Telephone Number	:	804-264-1659
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	HELEN SMITH
Credential	:
Telephone Number	:	804-882-9655

Provider Enumeration Date	:	04/03/2013
Last Update Date	:	04/03/2013

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