Provider Demographics
NPI:1952583577
Name:FIRST CHOICE HOME HEALTH OF OHIO
Entity Type:Organization
Organization Name:FIRST CHOICE HOME HEALTH OF OHIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE CLINICAL SERVICES DIRECTO
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:440-934-2683
Mailing Address - Street 1:5344 MEADOW LANE CT
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44035-1469
Mailing Address - Country:US
Mailing Address - Phone:440-934-2683
Mailing Address - Fax:440-934-2687
Practice Address - Street 1:3200 W MARKET ST
Practice Address - Street 2:#1
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3335
Practice Address - Country:US
Practice Address - Phone:330-867-1409
Practice Address - Fax:330-867-1489
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST CHOICE HOME HEALTH OF OHIO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health