Provider Demographics
NPI:1649344425
Name:MEDFIRST HOMECARE LLC
Entity type:Organization
Organization Name:MEDFIRST HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-385-9700
Mailing Address - Street 1:410 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-2607
Mailing Address - Country:US
Mailing Address - Phone:201-385-9700
Mailing Address - Fax:201-385-9701
Practice Address - Street 1:410 MARKET ST
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-2607
Practice Address - Country:US
Practice Address - Phone:201-385-9700
Practice Address - Fax:201-385-9701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5926850001Medicare NSC