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NPI 1952305286

NPI 1952305286 : FIRST CHOICE HOME CARE, INC. : BOISE, ID

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General NPI Number Information
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    NPI Number           |    1952305286
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    Entity Type          |    Organization 
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    Legal Business Name  |    FIRST CHOICE HOME CARE, INC. 
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Dates
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    Enumeration Date     |    06/01/2005
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    Last Update Date     |    03/13/2023
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Provider Practice Location Address
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    Address Line         |    12400 W OVERLAND RD SUITE 100
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    City                 |    BOISE
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    State                |    ID
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    Zip                  |    83709-0021
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    Country              |    US
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    Telephone            |    208-322-7061
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    Fax                  |    208-321-7052
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Provider Business Mailing Address
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    Address Line         |    12400 W OVERLAND RD SUITE 100
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    City                 |    BOISE
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    State                |    ID
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    Zip                  |    83709-0021
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    Country              |    US
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    Telephone            |    208-322-7061
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    Fax                  |    208-321-7052
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Authorized Official
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    Title or Position    |    BILLING MANAGER
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    Name                 |     CHARLOTTE  PRITCHARD 
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    Credential           |    
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    Telephone            |    817-349-9050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    OAS001172
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    License Number State |    ID
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Taxonomy #2
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    807041900
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    License Number State |    ID
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