Healthcare Provider Details
I. General information
NPI: 1134424047
Provider Name (Legal Business Name): FIRST CHOICE IN-HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2011
Last Update Date: 12/13/2021
Certification Date: 12/13/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2301 E BUSINESS HIGHWAY 83 LOT A
DONNA TX
78537-3543
US
IV. Provider business mailing address
2301 E BUSINESS HIGHWAY 83 LOT A
DONNA TX
78537-3543
US
V. Phone/Fax
- Phone: 956-246-9737
- Fax: 956-461-0032
- Phone: 956-246-9737
- Fax: 956-461-0032
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARIA
C
RODRIGUEZ
Title or Position: OWNER
Credential:
Phone: 956-246-9737