Provider Demographics
NPI:1225783236
Name:FIRST CLASS HOME HEALTH LLC
Entity Type:Organization
Organization Name:FIRST CLASS HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN MIN
Authorized Official - Middle Name:
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-331-1404
Mailing Address - Street 1:1830 E SAHARA AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-3739
Mailing Address - Country:US
Mailing Address - Phone:702-331-1404
Mailing Address - Fax:702-331-1681
Practice Address - Street 1:1830 E SAHARA AVE STE 207
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-3739
Practice Address - Country:US
Practice Address - Phone:702-331-1404
Practice Address - Fax:702-331-1681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health