MEDICARE: FIRST CHOICE HOME CARE INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	9248L001	NY

General Provider Information

NPI Number	:	1235297276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CHOICE HOME CARE INC

Provider Business Mailing Address
First Line	:	11 MIDDLE NECK RD
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021
Country	:	US
Telephone Number	:	516-487-8484
Fax Number	:	516-487-8498

Provider Business Practice Location Address
First Line	:	11 MIDDLE NECK RD
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-2301
Country	:	US
Telephone Number	:	516-487-8484
Fax Number	:	516-487-8498

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. VIOLETTE COPELMAN
Credential	:
Telephone Number	:	516-487-8484

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	08/22/2020

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