Provider Demographics
NPI:1356588081
Name:FIRST STOP HOME CARE, INC.
Entity type:Organization
Organization Name:FIRST STOP HOME CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ESTRELITA
Authorized Official - Middle Name:
Authorized Official - Last Name:CABANAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-905-5800
Mailing Address - Street 1:17515 W 9 MILE RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4403
Mailing Address - Country:US
Mailing Address - Phone:248-905-5800
Mailing Address - Fax:248-905-5858
Practice Address - Street 1:17515 W 9 MILE RD
Practice Address - Street 2:SUITE 130
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4403
Practice Address - Country:US
Practice Address - Phone:248-905-5800
Practice Address - Fax:248-905-5858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-16
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI239072Medicare Oscar/Certification