MEDICARE: FIRST CHOICE HOME CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	588045900	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	332208	OTHER	MN	MN CLASS A LICENSE NUMBER

General Provider Information

NPI Number	:	1225082233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CHOICE HOME CARE INC

Provider Business Mailing Address
First Line	:	2104 PARK AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-6607
Country	:	US
Telephone Number	:	612-426-9009
Fax Number	:

Provider Business Practice Location Address
First Line	:	2104 PARK AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-6607
Country	:	US
Telephone Number	:	612-353-4509
Fax Number	:	612-315-5869

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	NAJAH AHMED BARKHADLE
Credential	:
Telephone Number	:	612-426-9009

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	06/04/2020

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Directions to “FIRST CHOICE HOME CARE INC ” Practice Location

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