Provider Demographics
NPI:1538498480
Name:FIRST CHOICE HOME MEDICAL EQUIPMENT, LLC
Entity Type:Organization
Organization Name:FIRST CHOICE HOME MEDICAL EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:GVODAS JR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-390-0378
Mailing Address - Street 1:259 QUIGLEY BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-4186
Mailing Address - Country:US
Mailing Address - Phone:302-323-8700
Mailing Address - Fax:
Practice Address - Street 1:11 PRINCESS RD
Practice Address - Street 2:SUITE L
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2319
Practice Address - Country:US
Practice Address - Phone:609-844-0221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST CHOICE HOME MEDICAL EQUIPMENT, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-23
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5572040003Medicare NSC