Provider Demographics
NPI:1558174185
Name:CARE FIRST RESIDENTIAL LLC
Entity type:Organization
Organization Name:CARE FIRST RESIDENTIAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ISIMBI
Authorized Official - Middle Name:DEBORAH
Authorized Official - Last Name:FORONGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-880-2019
Mailing Address - Street 1:2699 TOWER HILL LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48306-3063
Mailing Address - Country:US
Mailing Address - Phone:602-880-2019
Mailing Address - Fax:
Practice Address - Street 1:2699 TOWER HILL LN
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48306-3063
Practice Address - Country:US
Practice Address - Phone:602-880-2019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities