Provider Demographics
NPI:1972941284
Name:HOME FIRST HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:HOME FIRST HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-725-6766
Mailing Address - Street 1:101 CENTURY 21 DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-8115
Mailing Address - Country:US
Mailing Address - Phone:904-725-6766
Mailing Address - Fax:904-725-6716
Practice Address - Street 1:101 CENTURY 21 DR
Practice Address - Street 2:SUITE 105
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-8115
Practice Address - Country:US
Practice Address - Phone:904-725-6766
Practice Address - Fax:904-725-6716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-08
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health