MEDICARE: FIRST CHOICE 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	OAS001172	ID
2	251E00000X	Home Health Agency	807041900	ID

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	:	1952305286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CHOICE HOME CARE, INC.

Provider Business Mailing Address
First Line	:	12400 W OVERLAND RD
Second Line	:	SUITE 100
City	:	BOISE
State	:	ID
Zip	:	83709-0021
Country	:	US
Telephone Number	:	208-322-7061
Fax Number	:	208-321-7052

Provider Business Practice Location Address
First Line	:	12400 W OVERLAND RD
Second Line	:	SUITE 100
City	:	BOISE
State	:	ID
Zip	:	83709-0021
Country	:	US
Telephone Number	:	208-322-7061
Fax Number	:	208-321-7052

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	CHARLOTTE PRITCHARD
Credential	:
Telephone Number	:	817-349-9050

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	03/13/2023

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Directions to “FIRST CHOICE HOME CARE, INC. ” Practice Location

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