Organization Active NPI

Firstchoice Health Care Inc

  • Home Health Agency
  • Upper Marlboro, MD
National Provider Identifier
1083094056
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R3713 Issued in MD
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

Updated by the provider on Sep 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenny Adeshola Amanze, CEONPI 1962168468
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
423698000MedicaidMD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.