Provider Demographics
NPI:1558839639
Name:FIRST HOME HEALTHCARE SERVICES
Entity type:Organization
Organization Name:FIRST HOME HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-769-5004
Mailing Address - Street 1:14730 KILBOURNE AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:IL
Mailing Address - Zip Code:60445-3392
Mailing Address - Country:US
Mailing Address - Phone:708-535-8609
Mailing Address - Fax:708-535-8749
Practice Address - Street 1:14730 KILBOURNE AVE
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:IL
Practice Address - Zip Code:60445-3392
Practice Address - Country:US
Practice Address - Phone:708-535-8609
Practice Address - Fax:708-535-8749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health