Provider Demographics
NPI:1396437372
Name:PATRIOTS FIRST SENIOR CARE
Entity type:Organization
Organization Name:PATRIOTS FIRST SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FITZPATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:CN
Authorized Official - Phone:602-448-4890
Mailing Address - Street 1:485 S WATSON RD # 103-193
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85326-3452
Mailing Address - Country:US
Mailing Address - Phone:602-448-4890
Mailing Address - Fax:
Practice Address - Street 1:485 S WATSON RD # 103-193
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326-3452
Practice Address - Country:US
Practice Address - Phone:602-448-4890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care