Provider Demographics
NPI:1134974462
Name:AMERICA HEALTHCARE FIRST SERVICES
Entity type:Organization
Organization Name:AMERICA HEALTHCARE FIRST SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AGNES
Authorized Official - Middle Name:
Authorized Official - Last Name:KUTEYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-710-8912
Mailing Address - Street 1:909 BALTIMORE BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-7065
Mailing Address - Country:US
Mailing Address - Phone:410-710-8912
Mailing Address - Fax:
Practice Address - Street 1:909 BALTIMORE BLVD STE 110
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-7065
Practice Address - Country:US
Practice Address - Phone:410-710-8912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health