Provider Demographics
NPI:1073713848
Name:FIRST RESPONSE HOME HEALTH SERVICES,LLC
Entity Type:Organization
Organization Name:FIRST RESPONSE HOME HEALTH SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:CANDA
Authorized Official - Last Name:TAN-PASCUAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:817-680-5171
Mailing Address - Street 1:4444 MALLOW OAK DR
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-2734
Mailing Address - Country:US
Mailing Address - Phone:817-680-5171
Mailing Address - Fax:817-361-9244
Practice Address - Street 1:4444 MALLOW OAK DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-2734
Practice Address - Country:US
Practice Address - Phone:817-680-5171
Practice Address - Fax:817-361-9244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health