Provider Demographics
NPI:1518565159
Name:FIRST CHOICE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:FIRST CHOICE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LE'KEISHA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-719-2835
Mailing Address - Street 1:600 WESTRIDGE PARKWAY
Mailing Address - Street 2:SUITE 707
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253
Mailing Address - Country:US
Mailing Address - Phone:678-961-8013
Mailing Address - Fax:678-961-8019
Practice Address - Street 1:600 WESTRIDGE PARKWAY
Practice Address - Street 2:SUITE 707
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253
Practice Address - Country:US
Practice Address - Phone:678-961-8013
Practice Address - Fax:678-961-8019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-15
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care