Provider Demographics
NPI:1508445982
Name:FIRST HEALTH HOSPICE LLC
Entity Type:Organization
Organization Name:FIRST HEALTH HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:IMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-214-1003
Mailing Address - Street 1:3131 EXECUTIVE PKWY STE 106
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1327
Mailing Address - Country:US
Mailing Address - Phone:419-214-1003
Mailing Address - Fax:419-214-1516
Practice Address - Street 1:3131 EXECUTIVE PKWY STE 106
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1327
Practice Address - Country:US
Practice Address - Phone:419-214-1003
Practice Address - Fax:419-214-1516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based