Provider Demographics
NPI:1033108964
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:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIDGES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:919-775-3306
Mailing Address - Street 1:506 CARTHAGE ST
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-4105
Mailing Address - Country:US
Mailing Address - Phone:919-775-3306
Mailing Address - Fax:919-775-6056
Practice Address - Street 1:506 CARTHAGE ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4105
Practice Address - Country:US
Practice Address - Phone:919-775-3306
Practice Address - Fax:919-775-6056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1717163W00000X
NCHC2070163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600599Medicaid
NC6600795Medicaid
NC7100428Medicaid
NC3409034Medicaid
NC7100320Medicaid