Provider Demographics
NPI:1639831597
Name:FIRST CHOICE WEST COAST HHC, CORP
Entity type:Organization
Organization Name:FIRST CHOICE WEST COAST HHC, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTERO DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:239-325-8683
Mailing Address - Street 1:5621 STRAND BLVD
Mailing Address - Street 2:SUITE 310A
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-7307
Mailing Address - Country:US
Mailing Address - Phone:239-325-8683
Mailing Address - Fax:239-631-2932
Practice Address - Street 1:5621 STRAND BLVD
Practice Address - Street 2:SUITE 310A
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-7307
Practice Address - Country:US
Practice Address - Phone:239-325-8683
Practice Address - Fax:239-631-2932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-08
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health