Provider Demographics
NPI:1023056702
Name:FIRST CHOICE HOME HEALTH OF OHIO INC
Entity type:Organization
Organization Name:FIRST CHOICE HOME HEALTH OF OHIO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:P
Authorized Official - Last Name:STERBEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-521-2222
Mailing Address - Street 1:1227 PARK AVE WEST
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44902
Mailing Address - Country:US
Mailing Address - Phone:419-521-2700
Mailing Address - Fax:419-521-1224
Practice Address - Street 1:1227 PARK AVE WEST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44902
Practice Address - Country:US
Practice Address - Phone:419-521-2700
Practice Address - Fax:419-521-1224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2280339Medicaid
OH=========.00OtherBWC WORKER'S COMPENSATION
OH2280339Medicaid
OH2280339Medicaid
OH367784Medicare ID - Type UnspecifiedHOME HEALTH AGENCY