Provider Demographics
NPI:1639300411
Name:1ST COMMUNITY HOME HEALTH SERVICES INC
Entity type:Organization
Organization Name:1ST COMMUNITY HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOJUS
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILIP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-229-8261
Mailing Address - Street 1:3514 LEXINGTON CMN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2876
Mailing Address - Country:US
Mailing Address - Phone:832-229-8261
Mailing Address - Fax:866-470-3118
Practice Address - Street 1:3514 LEXINGTON CMN
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2876
Practice Address - Country:US
Practice Address - Phone:832-229-8261
Practice Address - Fax:866-470-3118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health