Provider Demographics
NPI:1619408267
Name:HEALTH 1ST LIMITED LIABILITY COMPANY
Entity Type:Organization
Organization Name:HEALTH 1ST LIMITED LIABILITY COMPANY
Other - Org Name:SPECTRA CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:VAN STINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-255-1100
Mailing Address - Street 1:777 BLACKWOOD CLEMENTON RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:LINDENWOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-5966
Mailing Address - Country:US
Mailing Address - Phone:856-255-1100
Mailing Address - Fax:856-255-1101
Practice Address - Street 1:777 BLACKWOOD CLEMENTON RD
Practice Address - Street 2:SUITE E
Practice Address - City:LINDENWOLD
Practice Address - State:NJ
Practice Address - Zip Code:08021-5966
Practice Address - Country:US
Practice Address - Phone:856-255-1100
Practice Address - Fax:856-255-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-24
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0172300251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health