Healthcare Provider Details

I. General information

NPI: 1548796352
Provider Name (Legal Business Name): FIRST CHOICE HOMECARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 08/24/2020
Certification Date: 08/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PERIMETER PARK S STE 100N
BIRMINGHAM AL
35243-3248
US

IV. Provider business mailing address

1 PERIMETER PARK S STE 100N
BIRMINGHAM AL
35243-3248
US

V. Phone/Fax

Practice location:
  • Phone: 205-313-4785
  • Fax: 205-313-4786
Mailing address:
  • Phone: 205-313-4785
  • Fax: 205-313-4786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ELLE HOWARD
Title or Position: PRESIDENT
Credential:
Phone: 205-259-9807