Provider Demographics
NPI:1003370677
Name:FIRST CHOICE HOSPICE, INC
Entity Type:Organization
Organization Name:FIRST CHOICE HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:CLEGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-576-0495
Mailing Address - Street 1:3920 E PATRICK LN # 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3927
Mailing Address - Country:US
Mailing Address - Phone:702-576-0495
Mailing Address - Fax:705-576-0496
Practice Address - Street 1:3920 E PATRICK LN # 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3927
Practice Address - Country:US
Practice Address - Phone:702-576-0495
Practice Address - Fax:705-576-0496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-28
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based