Provider Demographics
NPI:1952764029
Name:FIRST CLASS HOME CARE INC
Entity Type:Organization
Organization Name:FIRST CLASS HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SABBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-330-4316
Mailing Address - Street 1:43050 12 OAKS CRESCENT DR
Mailing Address - Street 2:2022
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-3433
Mailing Address - Country:US
Mailing Address - Phone:248-330-4316
Mailing Address - Fax:
Practice Address - Street 1:43050 12 OAKS CRESCENT DR
Practice Address - Street 2:2022
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-3433
Practice Address - Country:US
Practice Address - Phone:248-330-4316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-05
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PENDINGMedicare PIN