Provider Demographics
NPI:1598271264
Name:FIRSTPLACEHOMECARE
Entity Type:Organization
Organization Name:FIRSTPLACEHOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C0-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HECTCHEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:DOFFOU
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:203-252-7516
Mailing Address - Street 1:126 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06604-3803
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:126 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06604-3803
Practice Address - Country:US
Practice Address - Phone:203-345-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-18
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health