Provider Demographics
NPI:1376007666
Name:FIRST CHOICE QUALITY HOME CARE, LLC
Entity Type:Organization
Organization Name:FIRST CHOICE QUALITY HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHENSON
Authorized Official - Middle Name:
Authorized Official - Last Name:CIMILIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-420-7574
Mailing Address - Street 1:5865 CARIBBEAN BLVD APT 2802
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-1792
Mailing Address - Country:US
Mailing Address - Phone:561-420-7574
Mailing Address - Fax:
Practice Address - Street 1:5681 BOYNTON BAY CIR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-2639
Practice Address - Country:US
Practice Address - Phone:561-385-0430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities