Provider Demographics
NPI:1225082233
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:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NAJAH
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:BARKHADLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-426-9009
Mailing Address - Street 1:2104 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-6607
Mailing Address - Country:US
Mailing Address - Phone:612-426-9009
Mailing Address - Fax:
Practice Address - Street 1:2104 PARK AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-6607
Practice Address - Country:US
Practice Address - Phone:612-353-4509
Practice Address - Fax:612-315-5869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN588045900251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN588045900Medicaid
MN332208OtherMN CLASS A LICENSE NUMBER
MN332208OtherMN CLASS A LICENSE NUMBER