Healthcare Provider Details

I. General information

NPI: 1518558766
Provider Name (Legal Business Name): FIRST CHOICE HEALTHCARE AND STAFFING AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2021
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1495 MORSE RD STE 208
COLUMBUS OH
43229-6434
US

IV. Provider business mailing address

9400 TOLLGATE RD SW STE B
ETNA OH
43062-9443
US

V. Phone/Fax

Practice location:
  • Phone: 614-625-9114
  • Fax:
Mailing address:
  • Phone: 614-625-9114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DEPENDRA DHITAL
Title or Position: CEO
Credential:
Phone: 614-625-9114