Provider Demographics
NPI:1609884576
Name:FIRST CHOICE HOME HEALTH AND HOSPICE SPECIALISTS, INC.
Entity Type:Organization
Organization Name:FIRST CHOICE HOME HEALTH AND HOSPICE SPECIALISTS, INC.
Other - Org Name:FIRST CHOICE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-434-4100
Mailing Address - Street 1:560 W 800 N # 204
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-3746
Mailing Address - Country:US
Mailing Address - Phone:801-434-4100
Mailing Address - Fax:801-434-8899
Practice Address - Street 1:1365 W 1250 S
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-2293
Practice Address - Country:US
Practice Address - Phone:801-434-4100
Practice Address - Fax:801-434-8899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2006-HHA-789251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT467103Medicare ID - Type UnspecifiedHOME HEALTH