Provider Demographics
NPI:1982946745
Name:1ST PRIORITY HOME HEALTH CARE ASSISTANCE LLC
Entity Type:Organization
Organization Name:1ST PRIORITY HOME HEALTH CARE ASSISTANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-966-9627
Mailing Address - Street 1:6123 E. 37TH STREET
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:MO
Mailing Address - Zip Code:64030-0000
Mailing Address - Country:US
Mailing Address - Phone:816-966-9627
Mailing Address - Fax:
Practice Address - Street 1:6123 E 137TH ST
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:MO
Practice Address - Zip Code:64030-3718
Practice Address - Country:US
Practice Address - Phone:816-966-9627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1ST PRIORITY HOME HEALTH CARE ASSISTANCE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLC123589251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health