MEDICARE: 1ST CHOICE HOME HEALTHCARE LATHROP 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

General Provider Information

NPI Number	:	1891375002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1ST CHOICE HOME HEALTHCARE LATHROP INC

Provider Business Mailing Address
First Line	:	2321 W MARCH LN STE 220B
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95207-5261
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2321 W MARCH LN STE 220B
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95207-5261
Country	:	US
Telephone Number	:	209-451-3242
Fax Number	:	209-594-1117

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MR. MOHAMMAD AAMIR HAYAT
Credential	:
Telephone Number	:	209-451-3242

Provider Enumeration Date	:	04/12/2021
Last Update Date	:	04/21/2021

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