MEDICARE: FIRST CHOICE ADHC, 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	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1245881051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CHOICE ADHC, INC.

Provider Business Mailing Address
First Line	:	7743 VIA CAPRI
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-1450
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	607 S GLENOAKS BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91502-1424
Country	:	US
Telephone Number	:	747-212-1900
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MARIAM KHACHATRIAN
Credential	:
Telephone Number	:	323-314-2141

Provider Enumeration Date	:	09/23/2019
Last Update Date	:	07/30/2024

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