Provider Demographics
NPI:1598074270
Name:FIRSTECLIPSE MEDICAL SERVICES INC.
Entity Type:Organization
Organization Name:FIRSTECLIPSE MEDICAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:MAUREEN
Authorized Official - Last Name:ELUANI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:708-668-2135
Mailing Address - Street 1:17631 MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:COUNTRY CLUB HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60478-4554
Mailing Address - Country:US
Mailing Address - Phone:708-798-4984
Mailing Address - Fax:
Practice Address - Street 1:17631 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:COUNTRY CLUB HILLS
Practice Address - State:IL
Practice Address - Zip Code:60478-4554
Practice Address - Country:US
Practice Address - Phone:708-798-4984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL67195809251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health