Provider Demographics
NPI:1124036249
Name:FIRST CHOICE HOME HEALTH & HOSPICE SPECIALISTS INC
Entity Type:Organization
Organization Name:FIRST CHOICE HOME HEALTH & HOSPICE SPECIALISTS INC
Other - Org Name:FIRST CHOICE HOME HEALTH & HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:BEAU
Authorized Official - Last Name:SORENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-434-4100
Mailing Address - Street 1:560 W 800 N
Mailing Address - Street 2:#204
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-5477
Mailing Address - Country:US
Mailing Address - Phone:801-434-4100
Mailing Address - Fax:801-434-8899
Practice Address - Street 1:5296 S COMMERCE DR # A-186
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-4767
Practice Address - Country:US
Practice Address - Phone:801-685-2233
Practice Address - Fax:801-685-7887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2005-HHA-73511251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT467071Medicare ID - Type UnspecifiedHOME HEALTH