Provider Demographics
NPI:1295424885
Name:1ST HEALTH LLC
Entity type:Organization
Organization Name:1ST HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHIBIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:NNOROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-534-4702
Mailing Address - Street 1:19413 KOLSTI WAY
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4166
Mailing Address - Country:US
Mailing Address - Phone:469-534-4702
Mailing Address - Fax:
Practice Address - Street 1:19413 KOLSTI WAY
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-4166
Practice Address - Country:US
Practice Address - Phone:469-534-4702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health