Healthcare Provider Details

I. General information

NPI: 1225599277
Provider Name (Legal Business Name): FIRST CHOICE HOME HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2019
Last Update Date: 01/06/2020
Certification Date: 01/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 E MAIN ST
COLUMBUS OH
43205-1931
US

IV. Provider business mailing address

1125 E MAIN ST
COLUMBUS OH
43205-1931
US

V. Phone/Fax

Practice location:
  • Phone: 614-914-8602
  • Fax: 614-907-7437
Mailing address:
  • Phone: 614-914-8602
  • Fax: 614-907-7437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TER'ESA G SY
Title or Position: ALTERNATIVE ADMINISTRATOR
Credential:
Phone: 614-914-8602