Provider Demographics
NPI:1740968593
Name:FIRST CARE HOME SERVICES LLC
Entity type:Organization
Organization Name:FIRST CARE HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CLOTILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOH
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:240-425-2388
Mailing Address - Street 1:6912 SYDENSTRICKER RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-2739
Mailing Address - Country:US
Mailing Address - Phone:571-336-2287
Mailing Address - Fax:571-347-8006
Practice Address - Street 1:6912 SYDENSTRICKER RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-2739
Practice Address - Country:US
Practice Address - Phone:571-336-2287
Practice Address - Fax:571-347-8006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care