Healthcare Provider Details

I. General information

NPI: 1134893092
Provider Name (Legal Business Name): FIRST CHOICE COMPANIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2021
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 E SILVER SPRINGS BLVD STE 101-1
OCALA FL
34470-6831
US

IV. Provider business mailing address

1515 E SILVER SPRINGS BLVD STE 101.1
OCALA FL
34470-6831
US

V. Phone/Fax

Practice location:
  • Phone: 352-509-3078
  • Fax: 352-509-3077
Mailing address:
  • Phone: 352-509-3078
  • Fax: 352-509-3077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: CHANTEL JOHNSON
Title or Position: OWNER
Credential:
Phone: 352-877-0085