First State Private Duty Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FIRST STATE PRIVATE DUTY INC

Practice address

3901 Fortune Blvd
Saginaw, MI 48603-2287

Phone

(989) 771-2100

Fax

(989) 771-9750

NPI assigned

Jul 31, 2014

Organization subpart

No

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

Authorized official

Name

Shahid Imran

Title

Administrator

Phone

(989) 771-2100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1982012191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 FORTUNE BLVD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032287",
            "telephone_number": "989-771-2100",
            "fax_number": "989-771-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 FORTUNE BLVD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032287",
            "telephone_number": "989-771-2100",
            "fax_number": "989-771-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STATE PRIVATE DUTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "IMRAN",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "989-771-2100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Firlik, MD
• First Choice Staffing Agency, LLC
• First Class Healthcare Staffing LLC
• First State Home Health Care Inc
• First State Hospice Care Inc
• Benjamin Fischer
• Jenny Fischer
• Matthew Fischer
• Susanna Fisenkova, DDS
• Brianna Fish

• All providers in Saginaw, MI
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.