Provider Demographics
NPI:1639205560
Name:FIRST HOME CARE CORPORATION
Entity type:Organization
Organization Name:FIRST HOME CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-737-2554
Mailing Address - Street 1:1012 14TH ST NW
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-3403
Mailing Address - Country:US
Mailing Address - Phone:202-737-2554
Mailing Address - Fax:202-654-0897
Practice Address - Street 1:1012 14TH ST NW
Practice Address - Street 2:SUITE 1400
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3403
Practice Address - Country:US
Practice Address - Phone:202-737-2554
Practice Address - Fax:202-654-0897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCCPA-041251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC036523100Medicaid