Healthcare Provider Details

I. General information

NPI: 1003330226
Provider Name (Legal Business Name): FIRST CHOICE CHILDREN'S HOMECARE, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2017
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E FERGUSON ST STE 416
TYLER TX
75702-5732
US

IV. Provider business mailing address

101 EDGEWATER DRIVE, SUITE 110
WAKEFIELD MA
01880-1262
US

V. Phone/Fax

Practice location:
  • Phone: 972-687-3124
  • Fax:
Mailing address:
  • Phone: 781-486-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MELINDA PHILLIPS
Title or Position: PRESIDENT
Credential:
Phone: 781-486-4100