Provider Demographics
NPI:1528365608
Name:FIRST AT HOME INC.
Entity Type:Organization
Organization Name:FIRST AT HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-963-8109
Mailing Address - Street 1:5055 S CONGRESS AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-4722
Mailing Address - Country:US
Mailing Address - Phone:561-963-8109
Mailing Address - Fax:561-963-8067
Practice Address - Street 1:5055 S CONGRESS AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-4722
Practice Address - Country:US
Practice Address - Phone:561-963-8109
Practice Address - Fax:561-963-8067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-25
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103188Medicare Oscar/Certification