Provider Demographics
NPI:1922090687
Name:FIRST CARE HOME HEALTH INC
Entity Type:Organization
Organization Name:FIRST CARE HOME HEALTH INC
Other - Org Name:1ST CARE HOME HEALTH LYNCHBURG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BURKHOLDER
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:434-572-1582
Mailing Address - Street 1:2808 OLD FOREST RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-2338
Mailing Address - Country:US
Mailing Address - Phone:434-384-2800
Mailing Address - Fax:434-384-2811
Practice Address - Street 1:2808 OLD FOREST RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2338
Practice Address - Country:US
Practice Address - Phone:434-384-2800
Practice Address - Fax:434-384-2811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4974174Medicaid
VA334845OtherANTHEM
VA334845OtherANTHEM