Provider Demographics
NPI:1336334390
Name:FIRST CARE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:FIRST CARE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:MENA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:305-822-2980
Mailing Address - Street 1:3750 W 16TH AVE
Mailing Address - Street 2:SUITE 142-U
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4654
Mailing Address - Country:US
Mailing Address - Phone:305-822-2980
Mailing Address - Fax:305-822-2988
Practice Address - Street 1:3750 W 16TH AVE
Practice Address - Street 2:SUITE 142-U
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4654
Practice Address - Country:US
Practice Address - Phone:305-822-2980
Practice Address - Fax:305-822-2988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health