Healthcare Provider Details

I. General information

NPI: 1336285352
Provider Name (Legal Business Name): FIRST CHOICE HOMECARE & RESPIRATORY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 S MAIN ST
HOPE AR
71801-7242
US

IV. Provider business mailing address

PO BOX 1031
HOPE AR
71802-1031
US

V. Phone/Fax

Practice location:
  • Phone: 870-777-3600
  • Fax:
Mailing address:
  • Phone: 870-777-3600
  • Fax: 870-722-5800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number004420
License Number StateAR

VIII. Authorized Official

Name: MR. MICHAEL J. SMITH
Title or Position: PRESIDENT
Credential:
Phone: 870-777-3600