MEDICARE: FIRST CHOICE HEALTH MANAGEMENT, 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	299992494	FL

General Provider Information

NPI Number	:	1740409994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CHOICE HEALTH MANAGEMENT, INC.

Provider Business Mailing Address
First Line	:	111 WESTWOOD PL
Second Line	:	STE 200
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-5021
Country	:	US
Telephone Number	:	615-221-2250
Fax Number	:

Provider Business Practice Location Address
First Line	:	4920 W CYPRESS ST
Second Line	:	STE 107
City	:	TAMPA
State	:	FL
Zip	:	33607-3844
Country	:	US
Telephone Number	:	813-287-8225
Fax Number	:

Authorized Official
Title or Position	:	SR. DIRECTOR REGULATORY PRACTICES
Name	:	MS. JULIE MCGLASSON
Credential	:
Telephone Number	:	615-221-2250

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	03/12/2009

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