Provider Demographics
NPI:1417041534
Name:FIRST CHOICE HOME HEALTH
Entity Type:Organization
Organization Name:FIRST CHOICE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:II
Authorized Official - Credentials:RN
Authorized Official - Phone:561-296-2770
Mailing Address - Street 1:4745 NW 7TH CT
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-9340
Mailing Address - Country:US
Mailing Address - Phone:561-296-2770
Mailing Address - Fax:561-296-2771
Practice Address - Street 1:4745 NW 7TH CT
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-9340
Practice Address - Country:US
Practice Address - Phone:561-296-2770
Practice Address - Fax:561-296-2771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992118251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108183Medicare Oscar/Certification