Provider Demographics
NPI:1518544980
Name:SENIOR 1ST HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:SENIOR 1ST HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALONZO
Authorized Official - Middle Name:MCCOY
Authorized Official - Last Name:WINSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-621-6782
Mailing Address - Street 1:1613 S CHURCH ST STE 7
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23430-1831
Mailing Address - Country:US
Mailing Address - Phone:757-279-0700
Mailing Address - Fax:757-279-0282
Practice Address - Street 1:1613 S CHURCH ST STE 7
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:VA
Practice Address - Zip Code:23430-1831
Practice Address - Country:US
Practice Address - Phone:757-279-0700
Practice Address - Fax:757-279-0282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care