MEDICARE: FAMILY 1ST CHOICE HEALTH CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	374U00000X	Home Health Aide
3	364SH0200X	Home Health Clinical Nurse Specialist

General Provider Information

NPI Number	:	1295675361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY 1ST CHOICE HEALTH CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	7164 GRAHAM RD STE 122
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2675
Country	:	US
Telephone Number	:	317-250-9413
Fax Number	:	317-250-9413

Provider Business Practice Location Address
First Line	:	7164 GRAHAM RD STE 122
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2675
Country	:	US
Telephone Number	:	317-250-9413
Fax Number	:	317-250-9413

Authorized Official
Title or Position	:	OWNER
Name	:	DETRICE PARKER
Credential	:
Telephone Number	:	317-250-9413

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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