Provider Demographics
NPI:1003186958
Name:FIRST CHOICE HOME CARE INC.
Entity Type:Organization
Organization Name:FIRST CHOICE HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:STROZIER
Authorized Official - Suffix:
Authorized Official - Credentials:CN,A
Authorized Official - Phone:404-957-1459
Mailing Address - Street 1:2200 BAYWOOD DR SE
Mailing Address - Street 2:2200 BAYWOOD DR.
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30315-6534
Mailing Address - Country:US
Mailing Address - Phone:404-957-1459
Mailing Address - Fax:404-420-2520
Practice Address - Street 1:2200 BAYWOOD DR SE
Practice Address - Street 2:2200 BAYWOOD DR.
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30315-6534
Practice Address - Country:US
Practice Address - Phone:404-957-1459
Practice Address - Fax:404-420-2520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA152647251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA=========Medicaid