Provider Demographics
NPI:1568691343
Name:1ST FAMILY HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:1ST FAMILY HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:DOLORES
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAGRADO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:815-337-4240
Mailing Address - Street 1:666 RUSSEL CT STE 308
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:IL
Mailing Address - Zip Code:60098-2672
Mailing Address - Country:US
Mailing Address - Phone:815-337-4240
Mailing Address - Fax:815-337-4288
Practice Address - Street 1:666 RUSSEL COURT
Practice Address - Street 2:SUITE 308
Practice Address - City:WOODSTOCK
Practice Address - State:IL
Practice Address - Zip Code:60098-2672
Practice Address - Country:US
Practice Address - Phone:815-337-4240
Practice Address - Fax:815-337-4288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011088251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health