Provider Demographics
NPI:1104209626
Name:FIRST ASSIST NURSING AND HOME CARE, INC.
Entity type:Organization
Organization Name:FIRST ASSIST NURSING AND HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:D
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-366-3351
Mailing Address - Street 1:8400 N UNIVERSITY DR
Mailing Address - Street 2:SUITE #302
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-1752
Mailing Address - Country:US
Mailing Address - Phone:954-366-3351
Mailing Address - Fax:954-206-1844
Practice Address - Street 1:8400 N UNIVERSITY DR
Practice Address - Street 2:SUITE #302
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-1752
Practice Address - Country:US
Practice Address - Phone:954-366-3351
Practice Address - Fax:954-206-1844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211775251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health