Provider Demographics
NPI:1134446834
Name:FIRST HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:FIRST HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXC DIRECTOR CLINICAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:Z
Authorized Official - Last Name:ANWAR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:703-372-7759
Mailing Address - Street 1:5101F BACKLICK RD
Mailing Address - Street 2:SUITE # 3
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-6055
Mailing Address - Country:US
Mailing Address - Phone:703-372-7759
Mailing Address - Fax:240-846-6108
Practice Address - Street 1:5101F BACKLICK RD
Practice Address - Street 2:SUITE # 3
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-6055
Practice Address - Country:US
Practice Address - Phone:703-372-7759
Practice Address - Fax:240-846-6108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-21
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-10411251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO-10411Medicaid