Provider Demographics
NPI:1972046340
Name:1ST CHOICE COMPANION & HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:1ST CHOICE COMPANION & HOME CARE SERVICES LLC
Other - Org Name:LIFELINE HOME COMPANION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:REYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CATARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-887-0461
Mailing Address - Street 1:6249 RED CEDAR CIR
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-8310
Mailing Address - Country:US
Mailing Address - Phone:908-887-0461
Mailing Address - Fax:
Practice Address - Street 1:6249 RED CEDAR CIR
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-8310
Practice Address - Country:US
Practice Address - Phone:908-887-0461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-02
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care