First Advantage Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FIRST ADVANTAGE HOMECARE LLC

Practice address

1120 Hicks Blvd Suite 100
Fairfield, OH 45014

Phone

(513) 829-1278

Fax

(513) 829-1412

NPI assigned

Jan 22, 2014

Organization subpart

No

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

Authorized official

Name

Melissa Gale Portillo

Title

Administrator

Phone

(513) 829-1278

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1255754651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 HICKS BLVD STE 100",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450149401",
            "telephone_number": "513-829-1278",
            "fax_number": "513-829-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HICKS BLVD SUITE 100",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "45014",
            "telephone_number": "513-829-1278",
            "fax_number": "513-829-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST ADVANTAGE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "PORTILLO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "513-829-1278"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.