Provider Demographics
NPI:1407876741
Name:FIRST CHOICE HOMECARE, INC.
Entity Type:Organization
Organization Name:FIRST CHOICE HOMECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:J
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-717-1984
Mailing Address - Street 1:601 TOWPATH TRL
Mailing Address - Street 2:SUITE C
Mailing Address - City:BROADVIEW HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44147-3677
Mailing Address - Country:US
Mailing Address - Phone:440-717-1984
Mailing Address - Fax:440-717-1983
Practice Address - Street 1:601 TOWPATH TRL
Practice Address - Street 2:SUITE C
Practice Address - City:BROADVIEW HTS
Practice Address - State:OH
Practice Address - Zip Code:44147-3677
Practice Address - Country:US
Practice Address - Phone:440-717-1984
Practice Address - Fax:440-717-1983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2081303Medicaid
OH2081303Medicaid