Healthcare Provider Details

I. General information

NPI: 1003725409
Provider Name (Legal Business Name): 1ST CHOICE HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 14TH AVE STE A1
GULFPORT MS
39501-5101
US

IV. Provider business mailing address

11072 ALLEN RD
GULFPORT MS
39503-8905
US

V. Phone/Fax

Practice location:
  • Phone: 228-609-0747
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JENNIFER LENARD
Title or Position: OWNER
Credential:
Phone: 228-223-7515