Provider Demographics
NPI:1780032367
Name:1ST CHOICE CARES
Entity Type:Organization
Organization Name:1ST CHOICE CARES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHEVELLE
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:PEGRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-730-4565
Mailing Address - Street 1:9157 ATLEE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-2504
Mailing Address - Country:US
Mailing Address - Phone:804-730-4565
Mailing Address - Fax:804-895-7858
Practice Address - Street 1:9157 ATLEE RD
Practice Address - Street 2:SUITE A
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-2504
Practice Address - Country:US
Practice Address - Phone:804-730-4565
Practice Address - Fax:804-895-7858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-161455251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health