MEDICARE: FIRSTCHOICE HOME HEALTHCARE, 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	261QR0400X	Rehabilitation Clinic/Center	N/A

General Provider Information

NPI Number	:	1457305922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRSTCHOICE HOME HEALTHCARE, INC

Provider Business Mailing Address
First Line	:	1776 S JACKSON ST
Second Line	:	SUITE 300
City	:	DENVER
State	:	CO
Zip	:	80210-3801
Country	:	US
Telephone Number	:	303-722-0857
Fax Number	:	303-722-2943

Provider Business Practice Location Address
First Line	:	1057 S WADSWORTH BLVD
Second Line	:	SUITE 20
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-4360
Country	:	US
Telephone Number	:	303-722-0857
Fax Number	:	303-722-2943

Authorized Official
Title or Position	:	PROJECT DEVELOPMENT
Name	:	MS. MEREDITH JOY DEHAVEN
Credential	:
Telephone Number	:	303-722-0857

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	08/22/2020

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