Provider Demographics
NPI:1730361643
Name:FIRST HOME HEALTHCARE, LLC
Entity type:Organization
Organization Name:FIRST HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:G
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-396-0902
Mailing Address - Street 1:PO BOX 1877
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78333-1877
Mailing Address - Country:US
Mailing Address - Phone:361-396-0902
Mailing Address - Fax:361-396-0982
Practice Address - Street 1:308 E 2ND
Practice Address - Street 2:STE D
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-4806
Practice Address - Country:US
Practice Address - Phone:361-396-0902
Practice Address - Fax:361-396-0982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747222Medicare PIN