Provider Demographics
NPI:1821394669
Name:FIRST CHOICE HOME CARE
Entity Type:Organization
Organization Name:FIRST CHOICE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VELISSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LOCKLEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-736-4800
Mailing Address - Street 1:712 OLD BAKER RD
Mailing Address - Street 2:
Mailing Address - City:MAXTON
Mailing Address - State:NC
Mailing Address - Zip Code:28364-8905
Mailing Address - Country:US
Mailing Address - Phone:910-736-4800
Mailing Address - Fax:910-844-1035
Practice Address - Street 1:691 OLD BAKER RD
Practice Address - Street 2:
Practice Address - City:MAXTON
Practice Address - State:NC
Practice Address - Zip Code:28364-8904
Practice Address - Country:US
Practice Address - Phone:910-736-4800
Practice Address - Fax:910-844-1035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty