Provider Demographics
NPI:1821361759
Name:1ST CHOICE HOME HEALTH PROVIDERS LLC
Entity Type:Organization
Organization Name:1ST CHOICE HOME HEALTH PROVIDERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ARSHIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-737-7835
Mailing Address - Street 1:1420 RENAISSANCE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1345
Mailing Address - Country:US
Mailing Address - Phone:708-737-7835
Mailing Address - Fax:708-737-7864
Practice Address - Street 1:1420 RENAISSANCE DR STE 400
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1345
Practice Address - Country:US
Practice Address - Phone:708-737-7835
Practice Address - Fax:708-737-7864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-23
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health