Provider Demographics
NPI:1376002360
Name:FIRST LOVE HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:FIRST LOVE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:NINDA
Authorized Official - Last Name:MUKASA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-534-2525
Mailing Address - Street 1:11611 ARBIRLOT DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2257
Mailing Address - Country:US
Mailing Address - Phone:713-534-2525
Mailing Address - Fax:
Practice Address - Street 1:11611 ARBIRLOT DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2257
Practice Address - Country:US
Practice Address - Phone:713-534-2525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251J00000XAgenciesNursing Care