Provider Demographics
NPI:1265699722
Name:FIRSTCHOICE HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:FIRSTCHOICE HOME HEALTHCARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LON
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:SEARS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-722-0857
Mailing Address - Street 1:1776 S JACKSON ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3801
Mailing Address - Country:US
Mailing Address - Phone:303-722-0857
Mailing Address - Fax:303-722-2943
Practice Address - Street 1:11154 HURON ST
Practice Address - Street 2:SUITE 210
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-2328
Practice Address - Country:US
Practice Address - Phone:303-722-0857
Practice Address - Fax:303-722-2943
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRSTCHOICE HOME HEALTHCARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N/A251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health