Provider Demographics
NPI:1710795190
Name:MISSION FIRST CARE SOLUTIONS LLC
Entity type:Organization
Organization Name:MISSION FIRST CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HONORE
Authorized Official - Middle Name:
Authorized Official - Last Name:WARE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:352-256-4671
Mailing Address - Street 1:5751 S TRUCKEE ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-3095
Mailing Address - Country:US
Mailing Address - Phone:352-256-4671
Mailing Address - Fax:
Practice Address - Street 1:5751 S TRUCKEE ST
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-3095
Practice Address - Country:US
Practice Address - Phone:352-256-4671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty