Firstline Healthcare and General Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FIRSTLINE HEALTHCARE AND GENERAL SERVICES, LLC

Practice address

905 Plateau Cir
Gallup, NM 87301-4836

Phone

(505) 409-7614

NPI assigned

Aug 11, 2023

Last updated

Aug 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Omosehin Moyebi, PHD

Title

Ceo

Phone

(505) 409-7614

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1770266108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 PLATEAU CIR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 PLATEAU CIR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014836",
            "telephone_number": "505-409-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTLINE HEALTHCARE AND GENERAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "MOYEBI",
        "authorized_official_first_name": "OMOSEHIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-409-7614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C Ferguson, PHARMD
• Junior Andres Fernandez Cubilete
• Mary Lee Fertig, RN
• Nancy Magana Fiedacan, RN
• Carrie Field
• Michael Nathaniel Fish, D.O.
• Vanessa M Fisher, RN
• Christopher Fitch, RN
• Kandyse Flanigan, OD
• Brenda Fleishell, RN

• Home Health Agency in Gallup, NM
• Providers in Gallup, NM by specialty
• Home Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.