Provider Demographics
NPI:1730755612
Name:FIRSTCARE HOME CARE LLC
Entity type:Organization
Organization Name:FIRSTCARE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:FRIGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-406-5303
Mailing Address - Street 1:1595 S CALUMET RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304-2388
Mailing Address - Country:US
Mailing Address - Phone:219-406-5303
Mailing Address - Fax:
Practice Address - Street 1:1595 S CALUMET RD
Practice Address - Street 2:
Practice Address - City:CHESTERTON
Practice Address - State:IN
Practice Address - Zip Code:46304-2388
Practice Address - Country:US
Practice Address - Phone:219-406-5303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care