Provider Demographics
NPI:1821033200
Name:FIRST CHOICE HOSPICE, INC.
Entity Type:Organization
Organization Name:FIRST CHOICE HOSPICE, INC.
Other - Org Name:FIRST CHOICE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:JANET
Authorized Official - Last Name:BOWDEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CHPN
Authorized Official - Phone:334-798-2956
Mailing Address - Street 1:966 CLAXTON AVE N
Mailing Address - Street 2:
Mailing Address - City:ELBA
Mailing Address - State:AL
Mailing Address - Zip Code:36323-1541
Mailing Address - Country:US
Mailing Address - Phone:334-897-0650
Mailing Address - Fax:334-897-0651
Practice Address - Street 1:966 CLAXTON AVE N
Practice Address - Street 2:
Practice Address - City:ELBA
Practice Address - State:AL
Practice Address - Zip Code:36323-1541
Practice Address - Country:US
Practice Address - Phone:334-897-0650
Practice Address - Fax:334-897-0651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL011656Medicare Oscar/Certification