Provider Demographics
NPI:1073576427
Name:FIRST CHOICE HOME HEALTHCARE,LLC
Entity Type:Organization
Organization Name:FIRST CHOICE HOME HEALTHCARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EFMA
Authorized Official - Middle Name:R
Authorized Official - Last Name:GRECIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:702-227-0005
Mailing Address - Street 1:2995 S. JONES BLVD. STE A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146
Mailing Address - Country:US
Mailing Address - Phone:702-227-0005
Mailing Address - Fax:702-220-7915
Practice Address - Street 1:2995 S. JONES BLVD. STE A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146
Practice Address - Country:US
Practice Address - Phone:702-227-0005
Practice Address - Fax:702-220-7915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3829HHA-3251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV297105Medicare ID - Type Unspecified