MEDICARE: FIRST CHOICE COMMUNITY 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	5429	TX

General Provider Information

NPI Number	:	1437152220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CHOICE COMMUNITY HOME CARE, INC.

Provider Business Mailing Address
First Line	:	2301 HIGHWAY 1187
Second Line	:	SUITE 203
City	:	MANSFIELD
State	:	TX
Zip	:	76063-6124
Country	:	US
Telephone Number	:	817-469-6739
Fax Number	:	817-801-3486

Provider Business Practice Location Address
First Line	:	1908 ELMWOOD
Second Line	:	SUITE 101
City	:	WICHITA FALLS
State	:	TX
Zip	:	76308
Country	:	US
Telephone Number	:	940-322-1391
Fax Number	:	940-322-2967

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ANGELA EDDINS
Credential	:
Telephone Number	:	817-469-6739

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	05/08/2017

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