Provider Demographics
NPI:1760410310
Name:FIRST CHOICE HOME CARE & HOSPICE
Entity Type:Organization
Organization Name:FIRST CHOICE HOME CARE & HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GATES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:208-736-0900
Mailing Address - Street 1:147 MAIN AVE E
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-6229
Mailing Address - Country:US
Mailing Address - Phone:208-736-0900
Mailing Address - Fax:209-733-2196
Practice Address - Street 1:147 MAIN AVE E
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-6229
Practice Address - Country:US
Practice Address - Phone:208-736-0900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDHO317OtherBLUE CROSS OF IDAHO
ID000010028726OtherREGENCE BLUE SHIELD
IDHO317OtherBLUE CROSS OF IDAHO