Provider Demographics
NPI:1891032389
Name:FIRST CLASS HOME HEALTH CARE
Entity Type:Organization
Organization Name:FIRST CLASS HOME HEALTH CARE
Other - Org Name:FIRST CLASS HOME HEALTH CARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERELUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-250-4365
Mailing Address - Street 1:9245 SW 157TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1906
Mailing Address - Country:US
Mailing Address - Phone:786-250-4365
Mailing Address - Fax:786-250-4365
Practice Address - Street 1:9245 SW 157TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1906
Practice Address - Country:US
Practice Address - Phone:786-250-4365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-03
Last Update Date:2013-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health