Provider Demographics
NPI:1336285352
Name:FIRST CHOICE HOMECARE & RESPIRATORY INC.
Entity Type:Organization
Organization Name:FIRST CHOICE HOMECARE & RESPIRATORY INC.
Other - Org Name:FIRST CHOICE - HOPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-777-3600
Mailing Address - Street 1:PO BOX 1031
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71802-1031
Mailing Address - Country:US
Mailing Address - Phone:870-777-3600
Mailing Address - Fax:870-722-5800
Practice Address - Street 1:1321 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-7242
Practice Address - Country:US
Practice Address - Phone:870-777-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR004420332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR0297170001Medicare UPIN