Provider Demographics
NPI:1225599277
Name:FIRST CHOICE HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:FIRST CHOICE HOME HEALTH SERVICES, LLC
Other - Org Name:FIRST CHOICE HOME HEALTH SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ALTERNATIVE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TER'ESA
Authorized Official - Middle Name:G
Authorized Official - Last Name:SY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-914-8602
Mailing Address - Street 1:1125 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-1931
Mailing Address - Country:US
Mailing Address - Phone:614-914-8602
Mailing Address - Fax:614-907-7437
Practice Address - Street 1:1125 E MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-1931
Practice Address - Country:US
Practice Address - Phone:614-914-8602
Practice Address - Fax:614-907-7437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-30
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0378221Medicaid