Organization Active NPI

First Care Integrated Health Services, Inc.

  • Home Health Agency
  • Warren, MI
National Provider Identifier
1679597330
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FIRST CARE INTEGRATED HEALTH SERVICES, INC.
Practice address
28043 Hoover Rd
Suite 3
Warren, MI 48093-4167
Phone
(586) 558-8089
Fax
(586) 558-8913
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jose Xene Colina
Title
President/ Ceo
Phone
(586) 558-8089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

28043 Hoover Rd
Suite 3
Warren, MI 48093-4167

Mailing address

28043 Hoover Rd
Suite 3
Warren, MI 48093-4167
Phone (586) 558-8089

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030414000038 MI Part A Provider - Home Health Agency 3870402787 Practice locations: Warren, MI

Home health agency certification: CCN 237509

Legal name
FIRST CARE INTEGRATED HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 22, 2004
Last certification
Dec 20, 2014
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 15, 2002 in MI
Enrollment address
28043 Hoover Rd a
Warren, MI 48093-4167

Care Compare: Home health agency

Medicare Care Compare
Listed as
First Care Integrated Health ServicesCCN 237509 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Mar 22, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1010303First Care Integrated Health Services Inc28043 Hoover Road Suite B1, Warren, MI 48093Certificate of waiverMar 10, 2027

National Provider Directory

National Provider Directory

Locations

30100 Van Dyke Ave
Ste 227
Warren, MI 48093
Phone (586) 596-7136

28043 Hoover Rd
Ste A
Warren, MI 48093
Phone (586) 558-8089

28043 Hoover Rd
Ste 3
Warren, MI 48093
Phone (586) 558-8089

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Jose Xene Colina Individual 5% Or Greater Direct Ownership Interest Oct 15, 2002 50%
Corporate DirectorCeo Oct 15, 2002 50%
W-2 Managing EmployeeCeo/Administrator Oct 15, 2002
Lourdes Colina Individual 5% Or Greater Direct Ownership InterestCfo Oct 15, 2002 50%
Corporate DirectorBoard Member/ Finance Oct 15, 2002 50%
W-2 Managing EmployeeFinance/ Billing Oct 15, 2002 50%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679597330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28043 HOOVER RD",
            "address_2": "SUITE 3",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934167",
            "telephone_number": "586-558-8089",
            "fax_number": "586-558-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28043 HOOVER RD",
            "address_2": "SUITE 3",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934167",
            "telephone_number": "586-558-8089",
            "fax_number": "586-558-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE INTEGRATED HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLINA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "XENE",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "586-558-8089",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.