NPI 1720909385 · live from the CMS NPI Registry
First Care Home Heath Agency LLC
In Home Supportive Care in Brookhaven, MS. National Provider Identifier 1720909385, active.
NPI record
| NPI | 1720909385 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | In Home Supportive Care 253Z00000X |
| Practice location | 714 Halbert Heights Rd Ste C, Brookhaven, MS 39601 |
| Practice phone | 601-754-5400 |
| Mailing address | Po Box 962, Fayette, MS 39069 |
| Enumerated | July 21, 2026 |
| Last updated | July 21, 2026 |
| Authorized official | Keiquanae Smith, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based | 251G00000X | — |
| In Home Supportive Care primary | 253Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.