Provider Demographics
NPI:1508511171
Name:FIRST CHOICE CARE HEALTH LLC DBA HOME CARE FOR THE 21ST CENTURY-WHO
Entity Type:Organization
Organization Name:FIRST CHOICE CARE HEALTH LLC DBA HOME CARE FOR THE 21ST CENTURY-WHO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TATYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANAGO GRAVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-229-5248
Mailing Address - Street 1:11511 KATY FWY STE 520
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1908
Mailing Address - Country:US
Mailing Address - Phone:832-431-0806
Mailing Address - Fax:
Practice Address - Street 1:11511 KATY FWY STE 520
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1908
Practice Address - Country:US
Practice Address - Phone:832-431-0806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST CHOICE CARE HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-12
Last Update Date:2022-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health