Provider Demographics
NPI:1659505477
Name:FIRST CHOICE HOME CARE, INC
Entity Type:Organization
Organization Name:FIRST CHOICE HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRIDGES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:919-775-3306
Mailing Address - Street 1:1754 E 11TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:SILER CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27344-2820
Mailing Address - Country:US
Mailing Address - Phone:919-775-3306
Mailing Address - Fax:919-775-6056
Practice Address - Street 1:506 CARTHAGE ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4105
Practice Address - Country:US
Practice Address - Phone:919-775-3306
Practice Address - Fax:919-775-6056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2070251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600795Medicaid
NC7100428Medicaid