Provider Demographics
NPI:1477709079
Name:FIRST CLASS HOME HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:FIRST CLASS HOME HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:ANTOINETTE
Authorized Official - Last Name:DHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-733-0007
Mailing Address - Street 1:4330 N STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4829
Mailing Address - Country:US
Mailing Address - Phone:954-733-0007
Mailing Address - Fax:954-714-8338
Practice Address - Street 1:4330 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33319-4829
Practice Address - Country:US
Practice Address - Phone:954-733-0007
Practice Address - Fax:954-714-8338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA20352096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHHA20352096OtherAHCA
FLLIC.#HHA20352096OtherHOME HEALTH CARE