Provider Demographics
NPI:1205047768
Name:FIRST CHOICE HOME MEDICAL LLC
Entity type:Organization
Organization Name:FIRST CHOICE HOME MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEVELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-393-9393
Mailing Address - Street 1:1945 SCOTTSVILLE RD
Mailing Address - Street 2:SUITE A 3
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-3376
Mailing Address - Country:US
Mailing Address - Phone:270-393-9393
Mailing Address - Fax:270-393-9383
Practice Address - Street 1:1945 SCOTTSVILLE RD
Practice Address - Street 2:SUITE A 3
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-3376
Practice Address - Country:US
Practice Address - Phone:270-393-9393
Practice Address - Fax:270-393-9383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYNA332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY45002318OtherDME
KY27535001000OtherDME
KY50010638OtherDME