Provider Demographics
NPI:1164754172
Name:FIRST CLASS NURSES, INC.
Entity Type:Organization
Organization Name:FIRST CLASS NURSES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:WAHBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-201-2621
Mailing Address - Street 1:6101 BALL RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-3963
Mailing Address - Country:US
Mailing Address - Phone:714-229-5996
Mailing Address - Fax:714-229-5999
Practice Address - Street 1:6101 BALL RD
Practice Address - Street 2:SUITE 204
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-3963
Practice Address - Country:US
Practice Address - Phone:714-229-5996
Practice Address - Fax:714-229-5999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAI-038463-L251E00000X
251G00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care