Provider Demographics
NPI:1235760141
Name:FIRST ONE CHOICE HOME CARE AGENCY
Entity Type:Organization
Organization Name:FIRST ONE CHOICE HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SULEIMAN
Authorized Official - Middle Name:HAJI
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-681-1288
Mailing Address - Street 1:2 CENTERVIEW DR STE 52
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-3708
Mailing Address - Country:US
Mailing Address - Phone:336-907-4074
Mailing Address - Fax:
Practice Address - Street 1:2 CENTERVIEW DR STE 52
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-3708
Practice Address - Country:US
Practice Address - Phone:336-907-4074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty