Provider Demographics
NPI:1942649744
Name:FIRST CLASS PROVIDER SERVICES, LLC
Entity Type:Organization
Organization Name:FIRST CLASS PROVIDER SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARIANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ANTU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-821-1273
Mailing Address - Street 1:214 N 16TH ST STE 122
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-4735
Mailing Address - Country:US
Mailing Address - Phone:956-821-1273
Mailing Address - Fax:956-627-4789
Practice Address - Street 1:214 N 16TH ST STE 122
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-4735
Practice Address - Country:US
Practice Address - Phone:956-821-1273
Practice Address - Fax:956-627-4789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-14
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251J00000XAgenciesNursing CareGroup - Single Specialty