Provider Demographics
NPI:1861528580
Name:FIRST CHOICE HOME CARE HEALTH CARE SERVICES,INC
Entity type:Organization
Organization Name:FIRST CHOICE HOME CARE HEALTH CARE SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SURESH
Authorized Official - Middle Name:
Authorized Official - Last Name:JADDU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-584-0786
Mailing Address - Street 1:28091 DEQUINDRE RD
Mailing Address - Street 2:STE 205
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-3047
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:28091 DEQUINDRE RD
Practice Address - Street 2:205
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3047
Practice Address - Country:US
Practice Address - Phone:248-584-0786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237572Medicare Oscar/Certification