MEDICARE: FIRST CHOICE PERSONAL CARE AND LIVING SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	347C00000X	Private Vehicle
2	385H00000X	Respite Care
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1215717392
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CHOICE PERSONAL CARE AND LIVING SOLUTIONS

Provider Business Mailing Address
First Line	:	7429 CAMBERWOOD DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-4753
Country	:	US
Telephone Number	:	317-508-7197
Fax Number	:

Provider Business Practice Location Address
First Line	:	7429 CAMBERWOOD DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-4753
Country	:	US
Telephone Number	:	317-508-7197
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. KAI TAYLOR
Credential	:	CCHW
Telephone Number	:	317-953-4310

Provider Enumeration Date	:	10/04/2023
Last Update Date	:	10/04/2023

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