MEDICARE: FIRST CHOICE HOME HEALTH OHIO, 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		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528108693
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CHOICE HOME HEALTH OHIO, INC

Provider Business Mailing Address
First Line	:	5344 MEADOW LANE CT
Second Line	:
City	:	SHEFFIELD VILLAGE
State	:	OH
Zip	:	44035-1469
Country	:	US
Telephone Number	:	440-934-2683
Fax Number	:

Provider Business Practice Location Address
First Line	:	5445 SOUTHWYCK BLVD STE 208
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-1534
Country	:	US
Telephone Number	:	419-861-2722
Fax Number	:

Authorized Official
Title or Position	:	CORPORATE DIRECTOR
Name	:	MR. LEONARD SHAFFER
Credential	:	RN
Telephone Number	:	440-934-2683

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	08/22/2020

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