Provider Demographics
NPI:1043182546
Name:1ST CARE AT HOME LLC
Entity type:Organization
Organization Name:1ST CARE AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:ROSALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-203-6518
Mailing Address - Street 1:2100 GEORGE RD SE UNIT 9282
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-5608
Mailing Address - Country:US
Mailing Address - Phone:505-203-6518
Mailing Address - Fax:
Practice Address - Street 1:2100 GEORGE RD SE UNIT 9282
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-5608
Practice Address - Country:US
Practice Address - Phone:505-203-6518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health