Provider Demographics
NPI:1356819064
Name:FIRSTHEALTH HOSPICE INC
Entity Type:Organization
Organization Name:FIRSTHEALTH HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-234-7084
Mailing Address - Street 1:24100 SOUTHFIELD RD STE 105
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2850
Mailing Address - Country:US
Mailing Address - Phone:248-423-3096
Mailing Address - Fax:
Practice Address - Street 1:24100 SOUTHFIELD RD STE 105
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2850
Practice Address - Country:US
Practice Address - Phone:248-423-3096
Practice Address - Fax:248-690-2334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-12
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based