Provider Demographics
NPI:1144613597
Name:FIRSTLIGHT LLC
Entity Type:Organization
Organization Name:FIRSTLIGHT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:KAURICH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:513-677-7787
Mailing Address - Street 1:9435 WATERSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-8226
Mailing Address - Country:US
Mailing Address - Phone:513-766-8402
Mailing Address - Fax:
Practice Address - Street 1:9435 WATERSTONE BLVD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-8226
Practice Address - Country:US
Practice Address - Phone:513-766-8402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care