Provider Demographics
NPI:1023891504
Name:1ST PROMPT HOME CARE
Entity type:Organization
Organization Name:1ST PROMPT HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THEOPHILUS
Authorized Official - Middle Name:
Authorized Official - Last Name:OHAYAGHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-707-0631
Mailing Address - Street 1:P O BOX 958158
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30095
Mailing Address - Country:US
Mailing Address - Phone:678-856-0802
Mailing Address - Fax:
Practice Address - Street 1:5677 BUFORD HWY NE STE 203
Practice Address - Street 2:
Practice Address - City:DORAVILLE
Practice Address - State:GA
Practice Address - Zip Code:30340-1242
Practice Address - Country:US
Practice Address - Phone:404-707-0631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171000000XOther Service ProvidersMilitary Health Care ProviderGroup - Multi-Specialty