Provider Demographics
NPI:1609909266
Name:FIRST CHOICE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:FIRST CHOICE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SUNDAY
Authorized Official - Middle Name:D
Authorized Official - Last Name:BOLARIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MBA, MPM
Authorized Official - Phone:317-331-3872
Mailing Address - Street 1:16838 GLEN CT
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46062-6841
Mailing Address - Country:US
Mailing Address - Phone:317-331-3872
Mailing Address - Fax:866-712-1760
Practice Address - Street 1:450 E 96TH ST STE 500
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-3760
Practice Address - Country:US
Practice Address - Phone:317-331-3872
Practice Address - Fax:866-712-1760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300033852Medicaid