Provider Demographics
NPI:1801120183
Name:FIRST HORIZON HOME CARE, LLC
Entity type:Organization
Organization Name:FIRST HORIZON HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/AGENCY SUPERVISOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ESTRELLA
Authorized Official - Middle Name:CABRERA
Authorized Official - Last Name:RIGODON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-865-0312
Mailing Address - Street 1:8000 KILPATRICK AVE
Mailing Address - Street 2:UNIT 2B
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-3013
Mailing Address - Country:US
Mailing Address - Phone:847-213-0700
Mailing Address - Fax:847-213-0799
Practice Address - Street 1:8000 KILPATRICK AVE
Practice Address - Street 2:UNIT 2B
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-3013
Practice Address - Country:US
Practice Address - Phone:847-213-0700
Practice Address - Fax:847-213-0799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-20
Last Update Date:2009-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010975251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health