Provider Demographics
NPI:1578937330
Name:HONEST FIRST PERSONAL CARE AGENCY, LLC
Entity Type:Organization
Organization Name:HONEST FIRST PERSONAL CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD CHAO
Authorized Official - Middle Name:
Authorized Official - Last Name:VANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-916-1203
Mailing Address - Street 1:11010 W. HAMPTON AVE.
Mailing Address - Street 2:SUITE 16
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53225
Mailing Address - Country:US
Mailing Address - Phone:414-763-0453
Mailing Address - Fax:414-539-3217
Practice Address - Street 1:11010 W. HAMPTON AVE.
Practice Address - Street 2:SUITE 16
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53225
Practice Address - Country:US
Practice Address - Phone:414-763-0453
Practice Address - Fax:414-539-3217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-17
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health