Provider Demographics
NPI:1093452039
Name:1ST HOME CARE INC
Entity Type:Organization
Organization Name:1ST HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YANEYSIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALCAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-658-5653
Mailing Address - Street 1:4801 S UNIVERSITY DR STE 250
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3836
Mailing Address - Country:US
Mailing Address - Phone:786-496-0215
Mailing Address - Fax:
Practice Address - Street 1:4801 S UNIVERSITY DR STE 250
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-3836
Practice Address - Country:US
Practice Address - Phone:786-496-0215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-19
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty