Active NPI
Firstchoice Health Care Inc
- Home Health Agency
- Upper Marlboro, MD
National Provider Identifier
1083094056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- R3713
- Legal business name
- FIRSTCHOICE HEALTH CARE INC
- Practice address
- 2409 Baikal Loop
Upper Marlboro, MD 20774-7051 - Phone
- (301) 494-4770
- Fax
- (240) 342-3440
- NPI assigned
- Jun 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenny Adeshola Amanze, CEO
- Title
- Administration
- Phone
- (301) 494-4770
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | R3713 | MD | Primary |
Addresses
Primary practice location
2409 Baikal Loop
Upper Marlboro, MD 20774-7051
Mailing address
2409 Baikal Loop
Upper Marlboro, MD 20774-7051
Phone (301) 494-4770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 423698000 | Medicaid | MD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Washington, DC
- NPI 1962168468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631664000000",
"number": "1083094056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 BAIKAL LOOP",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207747051",
"telephone_number": "301-494-4770",
"fax_number": "240-342-3440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 BAIKAL LOOP",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207747051",
"telephone_number": "301-494-4770",
"fax_number": "240-342-3440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRSTCHOICE HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-04",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A",
"authorized_official_last_name": "AMANZE",
"authorized_official_first_name": "KENNY",
"authorized_official_middle_name": "ADESHOLA",
"authorized_official_title_or_position": "ADMINISTRATION",
"authorized_official_telephone_number": "301-494-4770",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MD",
"license": "R3713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "423698000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.