Provider Demographics
NPI:1447623582
Name:FIRST CLASS HOME HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:FIRST CLASS HOME HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:QUINTELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-662-0499
Mailing Address - Street 1:11790 N RANCH DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63033-8041
Mailing Address - Country:US
Mailing Address - Phone:314-827-5454
Mailing Address - Fax:314-438-6130
Practice Address - Street 1:11790 N RANCH DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-8041
Practice Address - Country:US
Practice Address - Phone:314-827-5454
Practice Address - Fax:314-438-6130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-11
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health