Healthcare Provider Details

I. General information

NPI: 1467088161
Provider Name (Legal Business Name): FIRST OPTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2020
Last Update Date: 11/09/2025
Certification Date: 11/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 SUNNYSIDE AVE STE 101
BELTSVILLE MD
20705-2327
US

IV. Provider business mailing address

12902 OLD CHAPEL RD
BOWIE MD
20720-4616
US

V. Phone/Fax

Practice location:
  • Phone: 240-334-1121
  • Fax: 240-540-4963
Mailing address:
  • Phone: 240-334-1121
  • Fax: 240-540-4963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JENNIFER MADUBUKO
Title or Position: ADMINISTRATOR
Credential:
Phone: 240-334-1121