Provider Demographics
NPI:1679576367
Name:1ST CHOICE HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:1ST CHOICE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARNELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:907-260-5959
Mailing Address - Street 1:159 E REDOUBT AVE
Mailing Address - Street 2:
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-8013
Mailing Address - Country:US
Mailing Address - Phone:907-260-5959
Mailing Address - Fax:907-260-5900
Practice Address - Street 1:159 E REDOUBT AVE
Practice Address - Street 2:
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-8013
Practice Address - Country:US
Practice Address - Phone:907-260-5959
Practice Address - Fax:907-262-5498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2019-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKN/A251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKHH5665Medicaid
AKHH5665Medicaid