1205594843 NPI number — FIRST CHOICE HOSPICE, INC.

Table of content: (NPI 1205594843)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205594843 NPI number — FIRST CHOICE HOSPICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FIRST CHOICE HOSPICE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205594843
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/01/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2098
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WINTERSVILLE
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43953-0098
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
740-273-4077
Provider Business Mailing Address Fax Number:
740-273-4078

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 LURAY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINTERSVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43953-3972
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-273-4077
Provider Business Practice Location Address Fax Number:
740-273-4078
Provider Enumeration Date:
12/01/2021

Additional Information

Authorized Official

Authorized Official Last Name:
SNEDDON
Authorized Official First Name:
HEATHER
Authorized Official Middle Name:
RENEE
Authorized Official Title or Position:
CEO/EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
740-273-4077

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 202109801808 . This is a "STATE CERTIFICATE/BUSINESS LICENSE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com