Provider Demographics
NPI: | 1659005445 |
---|---|
Name: | FIRSTSTOP HEALTH SERVICES, INC |
Entity Type: | Organization |
Organization Name: | FIRSTSTOP HEALTH SERVICES, INC |
Other - Org Name: | FIRSTSTOP HOME HEALTH SERVICES |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | TERENCE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | DEXTER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | RN |
Authorized Official - Phone: | 202-506-0416 |
Mailing Address - Street 1: | 5200 DEVONPORT CT |
Mailing Address - Street 2: | |
Mailing Address - City: | GLENN DALE |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 20769-9141 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 202-506-0416 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1420 N ST NW STE 102 |
Practice Address - Street 2: | |
Practice Address - City: | WASHINGTON |
Practice Address - State: | DC |
Practice Address - Zip Code: | 20005-2876 |
Practice Address - Country: | US |
Practice Address - Phone: | 202-506-0416 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2022-07-15 |
Last Update Date: | 2023-05-25 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 251B00000X | Agencies | Case Management | ||
No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | Group - Multi-Specialty | |
No | 251E00000X | Agencies | Home Health | ||
No | 251G00000X | Agencies | Hospice Care, Community Based | ||
No | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | ||
No | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Behavioral Disturbances | |
No | 314000000X | Nursing & Custodial Care Facilities | Skilled Nursing Facility | Group - Multi-Specialty | |
No | 372500000X | Nursing Service Related Providers | Chore Provider | Group - Multi-Specialty | |
No | 385H00000X | Respite Care Facility | Respite Care | ||
No | 385HR2050X | Respite Care Facility | Respite Care | Respite Care Camp | |
No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child | |
No | 385HR2065X | Respite Care Facility | Respite Care | Respite Care, Physical Disabilities, Child |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
DC | NA | Medicaid |