Provider Demographics
NPI:1982478350
Name:1ST HEALTH HOME CARE LLC
Entity Type:Organization
Organization Name:1ST HEALTH HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:GYAMFI
Authorized Official - Last Name:SIMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-592-0759
Mailing Address - Street 1:1135 E CHOCOLATE AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-1201
Mailing Address - Country:US
Mailing Address - Phone:717-974-2880
Mailing Address - Fax:717-974-2510
Practice Address - Street 1:1135 E CHOCOLATE AVE STE 305
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-1201
Practice Address - Country:US
Practice Address - Phone:717-974-2880
Practice Address - Fax:717-974-2510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care