Provider Demographics
NPI:1558852129
Name:HUMAN FIRST HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:HUMAN FIRST HOME HEALTH AGENCY
Other - Org Name:PORCIUNCULA & CO LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PORCIUNCULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-445-4544
Mailing Address - Street 1:8345 RESEDA BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-5946
Mailing Address - Country:US
Mailing Address - Phone:818-405-0473
Mailing Address - Fax:818-405-0474
Practice Address - Street 1:8345 RESEDA BLVD STE 208
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-5946
Practice Address - Country:US
Practice Address - Phone:818-405-0473
Practice Address - Fax:818-405-0474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-19
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health