Provider Demographics
NPI:1912549213
Name:1ST RESPONSE HOME HEALTH LLC.
Entity Type:Organization
Organization Name:1ST RESPONSE HOME HEALTH LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DON
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERIDAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-501-8117
Mailing Address - Street 1:10075 WINDTREE LN S
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-5456
Mailing Address - Country:US
Mailing Address - Phone:561-501-8117
Mailing Address - Fax:
Practice Address - Street 1:10075 WINDTREE LN S
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-5456
Practice Address - Country:US
Practice Address - Phone:561-501-8117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health