Provider Demographics
NPI:1457605537
Name:SENIORS FIRST CHOICE INC
Entity Type:Organization
Organization Name:SENIORS FIRST CHOICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN, ALFA
Authorized Official - Phone:804-789-1569
Mailing Address - Street 1:8246 LAUREL MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-4634
Mailing Address - Country:US
Mailing Address - Phone:804-789-1569
Mailing Address - Fax:804-789-1572
Practice Address - Street 1:7286 HANOVER GREEN DR
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-1710
Practice Address - Country:US
Practice Address - Phone:804-789-1569
Practice Address - Fax:804-789-1572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-29
Last Update Date:2012-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-13712251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0166105269Medicaid
VA0197769477Medicaid
VA0166110939Medicaid