Provider Demographics
NPI:1386911030
Name:FIRST CLASS HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:FIRST CLASS HOME HEALTH CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HUSSEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-720-8605
Mailing Address - Street 1:4841 MONROE ST
Mailing Address - Street 2:SUITE 235
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4385
Mailing Address - Country:US
Mailing Address - Phone:419-720-8605
Mailing Address - Fax:419-724-4478
Practice Address - Street 1:4841 MONROE ST
Practice Address - Street 2:SUITE 235
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4385
Practice Address - Country:US
Practice Address - Phone:419-720-8605
Practice Address - Fax:419-724-4478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-23
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH369110OtherMEDICARE CERTIFICATION NUMBER (CCN)