Provider Demographics
NPI:1154190114
Name:HEALTH HOME FIRST WA LLC
Entity type:Organization
Organization Name:HEALTH HOME FIRST WA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RIHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-698-6501
Mailing Address - Street 1:13445 MARTIN LUTHER KING JR WAY S UNIT M203
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98178-5259
Mailing Address - Country:US
Mailing Address - Phone:206-698-6501
Mailing Address - Fax:
Practice Address - Street 1:13445 MARTIN LUTHER KING JR WAY S UNIT M203
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98178-5259
Practice Address - Country:US
Practice Address - Phone:206-698-6501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health