Provider Demographics
NPI:1811549132
Name:FIRST CHOICE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:FIRST CHOICE HOME HEALTH CARE LLC
Other - Org Name:FIRST CHOICE HOME HEALTH CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QUINEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-448-4569
Mailing Address - Street 1:316 E FRANKLIN BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-7105
Mailing Address - Country:US
Mailing Address - Phone:980-448-4569
Mailing Address - Fax:
Practice Address - Street 1:2750 E W T HARRIS BLVD STE 207
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-4367
Practice Address - Country:US
Practice Address - Phone:980-448-4961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-16
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health