Provider Demographics
NPI:1548691645
Name:EMERALD FIRST CHOICE HOSPICE LLC
Entity type:Organization
Organization Name:EMERALD FIRST CHOICE HOSPICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GOVERNING BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANALOVITCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-236-0724
Mailing Address - Street 1:925 NW 164TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-1053
Mailing Address - Country:US
Mailing Address - Phone:732-970-0736
Mailing Address - Fax:
Practice Address - Street 1:925 NW 164TH ST STE B
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013
Practice Address - Country:US
Practice Address - Phone:732-970-0736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-28
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based