Provider Demographics
NPI:1114204138
Name:FIRST CARE LLC
Entity Type:Organization
Organization Name:FIRST CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE YNIGO
Authorized Official - Middle Name:SULLER
Authorized Official - Last Name:VILLANUEVA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:626-643-1016
Mailing Address - Street 1:360 MOBIL AVE
Mailing Address - Street 2:SUITE 214
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-6325
Mailing Address - Country:US
Mailing Address - Phone:805-484-0106
Mailing Address - Fax:
Practice Address - Street 1:360 MOBIL AVE
Practice Address - Street 2:SUITE 214
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-6325
Practice Address - Country:US
Practice Address - Phone:805-484-0106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)