Organization Active NPI

First Response Home Health Services,LLC

  • Home Health Agency
  • Fort Worth, TX
National Provider Identifier
1073713848
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FIRST RESPONSE HOME HEALTH SERVICES,LLC
Practice address
4444 Mallow Oak Dr
Fort Worth, TX 76123-2734
Phone
(817) 680-5171
Fax
(817) 361-9244
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Judith Canda Tan-Pascual, RN,BSN
Title
Administrator/Director
Phone
(817) 680-5171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4444 Mallow Oak Dr
Fort Worth, TX 76123-2734

Mailing address

4444 Mallow Oak Dr
Ft Worth, TX 76123-2734
Phone (817) 680-5171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080516000084 TX Part A Provider - Home Health Agency 0941379911 Practice locations: Fort Worth, TX

Home health agency certification: CCN 747160

Legal name
FIRST RESPONSE HOME HEALTH SERVICES,LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 8, 2009
Last certification
Sep 25, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
4444 Mallow Oak Dr
Fort Worth, TX 76123-2734

Care Compare: Home health agency

Medicare Care Compare
Listed as
First Response Home Health Services LLCCCN 747160
Ownership
Proprietary
Certified
Aug 8, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
First Response Home Health and Hospice Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Judith Tan-Pascual Individual 5% Or Greater Direct Ownership Interest Sep 28, 2007
Corporate Director Sep 28, 2007
W-2 Managing Employee Sep 28, 2007

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1073713848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 MALLOW OAK DR",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761232734",
            "telephone_number": "817-680-5171",
            "fax_number": "817-361-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 MALLOW OAK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232734",
            "telephone_number": "817-680-5171",
            "fax_number": "817-361-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST RESPONSE HOME HEALTH SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "TAN-PASCUAL",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "CANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR",
        "authorized_official_telephone_number": "817-680-5171",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.