Provider Demographics
NPI:1740409994
Name:FIRST CHOICE HEALTH MANAGEMENT, INC.
Entity Type:Organization
Organization Name:FIRST CHOICE HEALTH MANAGEMENT, INC.
Other - Org Name:FIRST CHOICE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. DIRECTOR REGULATORY PRACTICES
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGLASSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-221-2250
Mailing Address - Street 1:111 WESTWOOD PL
Mailing Address - Street 2:STE 200
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5021
Mailing Address - Country:US
Mailing Address - Phone:615-221-2250
Mailing Address - Fax:
Practice Address - Street 1:4920 W CYPRESS ST
Practice Address - Street 2:STE 107
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-3844
Practice Address - Country:US
Practice Address - Phone:813-287-8225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992494251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108467Medicare Oscar/Certification