Provider Demographics
NPI:1518927797
Name:HOSPICE OF HEALTH FIRST INC.
Entity Type:Organization
Organization Name:HOSPICE OF HEALTH FIRST INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL/EVP/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:ESROCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-434-5112
Mailing Address - Street 1:1131 W NEW HAVEN AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:WEST MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-4055
Mailing Address - Country:US
Mailing Address - Phone:321-434-1744
Mailing Address - Fax:321-434-3261
Practice Address - Street 1:1131 W NEW HAVEN AVE STE 102
Practice Address - Street 2:
Practice Address - City:WEST MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-4110
Practice Address - Country:US
Practice Address - Phone:321-434-1744
Practice Address - Fax:321-434-3261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHPC50090961251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL087522800Medicaid
FL087522800Medicaid