Provider Demographics
NPI:1700246691
Name:FIRST CHOICE COMFORT CARE, INCORPORATED
Entity Type:Organization
Organization Name:FIRST CHOICE COMFORT CARE, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LESTER
Authorized Official - Middle Name:M
Authorized Official - Last Name:CARDOSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-246-7300
Mailing Address - Street 1:6200 CLEVELAND ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-5914
Mailing Address - Country:US
Mailing Address - Phone:954-983-5174
Mailing Address - Fax:954-983-5999
Practice Address - Street 1:6200 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-5914
Practice Address - Country:US
Practice Address - Phone:954-983-5174
Practice Address - Fax:954-983-5999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-04
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility