Healthcare Provider Details
I. General information
NPI: 1548240831
Provider Name (Legal Business Name): FIRST CHOICE CHILDRENS HOMECARE LP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/20/2006
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5555 N LAMAR BLVD STE E125
AUSTIN TX
78751-1052
US
IV. Provider business mailing address
400 INTERSTATE NORTH PKWY SE STE 1600
ATLANTA GA
30339-5047
US
V. Phone/Fax
- Phone: 512-828-3990
- Fax: 512-241-1277
- Phone: 470-464-8000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 017864 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MATTHEW
BUCKHALTER
Title or Position: CFO
Credential:
Phone: 470-464-8000