Provider Demographics
NPI:1093895237
Name:JANET M. CHATTIN DBA FIRST CHOICE IN HOME SERVICES
Entity Type:Organization
Organization Name:JANET M. CHATTIN DBA FIRST CHOICE IN HOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:R.N. SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:RHEA
Authorized Official - Last Name:BROWER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:812-886-9001
Mailing Address - Street 1:2064 N OLD BRUCEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-8922
Mailing Address - Country:US
Mailing Address - Phone:812-886-9001
Mailing Address - Fax:812-886-9392
Practice Address - Street 1:2064 N OLD BRUCEVILLE RD
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-8922
Practice Address - Country:US
Practice Address - Phone:812-886-9001
Practice Address - Fax:812-886-9392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06-010921-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200290470AMedicaid