Provider Demographics
NPI:1336603661
Name:FIRST ONE HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:FIRST ONE HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANAB
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:GANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-589-8958
Mailing Address - Street 1:6161 BUSCH BLVD STE 310
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-2556
Mailing Address - Country:US
Mailing Address - Phone:703-589-8958
Mailing Address - Fax:
Practice Address - Street 1:6161 BUSCH BLVD STE 310
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2556
Practice Address - Country:US
Practice Address - Phone:703-589-8958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health