MEDICARE: 1ST CHOICE HOSPICE AND HOME HEALTH, LLC

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

General Provider Information

NPI Number	:	1558908848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1ST CHOICE HOSPICE AND HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	3001 OLD HOUSTON RD
Second Line	:
City	:	HUNTSVILLE
State	:	TX
Zip	:	77340-6830
Country	:	US
Telephone Number	:	936-295-7100
Fax Number	:	866-594-8929

Provider Business Practice Location Address
First Line	:	3001 OLD HOUSTON RD
Second Line	:
City	:	HUNTSVILLE
State	:	TX
Zip	:	77340-6830
Country	:	US
Telephone Number	:	936-295-7100
Fax Number	:	866-594-8929

Authorized Official
Title or Position	:	MEDICAL DIRECTOR/OWNER
Name	:	RICHARD MAURICE PERRY
Credential	:	D.O.
Telephone Number	:	936-295-7100

Provider Enumeration Date	:	12/05/2019
Last Update Date	:	12/05/2019

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