Provider Demographics
NPI:1679597330
Name:FIRST CARE INTEGRATED HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:FIRST CARE INTEGRATED HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:XENE
Authorized Official - Last Name:COLINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-558-8089
Mailing Address - Street 1:28043 HOOVER RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-4167
Mailing Address - Country:US
Mailing Address - Phone:586-558-8089
Mailing Address - Fax:586-558-8913
Practice Address - Street 1:28043 HOOVER RD
Practice Address - Street 2:SUITE 3
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-4167
Practice Address - Country:US
Practice Address - Phone:586-558-8089
Practice Address - Fax:586-558-8913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237509Medicare ID - Type UnspecifiedPROVIDER NUMBER