Provider Demographics
NPI:1679272736
Name:1ST SUPPORT IN-HOME CARE
Entity Type:Organization
Organization Name:1ST SUPPORT IN-HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:VIET TRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-771-3852
Mailing Address - Street 1:8753 YATES DR STE 220I
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-6946
Mailing Address - Country:US
Mailing Address - Phone:720-771-3852
Mailing Address - Fax:303-749-1126
Practice Address - Street 1:8753 YATES DR STE 220I
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-6946
Practice Address - Country:US
Practice Address - Phone:720-771-3852
Practice Address - Fax:303-749-1126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care