Provider Demographics
NPI:1568727998
Name:FIRSTCARE ENTERPRISES, LLC
Entity Type:Organization
Organization Name:FIRSTCARE ENTERPRISES, LLC
Other - Org Name:FIRSTLIGHT HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:FALK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-567-5857
Mailing Address - Street 1:504 AUTUMN SPRINGS CT
Mailing Address - Street 2:SUITE C-20
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8277
Mailing Address - Country:US
Mailing Address - Phone:615-567-5857
Mailing Address - Fax:615-567-5858
Practice Address - Street 1:504 AUTUMN SPRINGS CT
Practice Address - Street 2:SUITE C-20
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8277
Practice Address - Country:US
Practice Address - Phone:615-567-5857
Practice Address - Fax:615-567-5858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-11
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000014071253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH445555Medicaid
TNL000000017958OtherDEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES
TNL000000014071OtherSTATE OF TN DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES