Provider Demographics
NPI:1083869408
Name:FIRST CLASS HOME HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:FIRST CLASS HOME HEALTHCARE SERVICES
Other - Org Name:FIRST CLASS HOME HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAGDALENA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DOLBRUS-GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-706-1927
Mailing Address - Street 1:37810 STATE ROAD 54
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-5428
Mailing Address - Country:US
Mailing Address - Phone:877-706-1927
Mailing Address - Fax:877-230-5629
Practice Address - Street 1:37810 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-5428
Practice Address - Country:US
Practice Address - Phone:877-706-1927
Practice Address - Fax:877-230-5629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-26
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106060700Medicaid
FL14997462OtherCAQH