Provider Demographics
NPI:1598336794
Name:FIRST ALERT HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:FIRST ALERT HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:P/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:LONGBRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-934-8609
Mailing Address - Street 1:350 CAMINO GARDENS BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-5825
Mailing Address - Country:US
Mailing Address - Phone:561-717-4987
Mailing Address - Fax:561-717-6948
Practice Address - Street 1:350 CAMINO GARDENS BLVD STE 302
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5825
Practice Address - Country:US
Practice Address - Phone:561-717-4987
Practice Address - Fax:561-717-6948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-08
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL118569900Medicaid