First Community Health Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FIRST COMMUNITY HEALTH SERVICES, LLC

Doing business as

FCHS, LLC

Practice address

3634 Watertower LN
Suite 4
West Carrollton, OH 45449-4000

Phone

(937) 247-0400

Fax

(937) 247-0575

NPI assigned

May 21, 2010

Last updated

Mar 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Bello

Title

Administrator

Phone

(513) 293-7158

Specialties & licenses 1

Addresses

Other names 1

• FCHS, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255650859. Details of each certification follow.

• CCN 368413 Home health agency · Active · Details

Home health agency certification: CCN 368413

Legal name

FIRST COMMUNITY HEALTH SERVICES, LLC

Doing business as

FCHS LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 7, 2012

Last certification

Apr 17, 2015

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Apr 27, 2010 in OH

Enrollment address

3634 Watertower LN
Ste 4
West Carrollton, OH 45449-4000

Listed as

First Community Health Services, LLCCCN 368413 · All quality measures

Ownership

Proprietary

Certified

May 7, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1255650859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 WATERTOWER LN",
            "address_2": "SUITE 4",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "454494000",
            "telephone_number": "937-247-0400",
            "fax_number": "937-247-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 WATERTOWER LN",
            "address_2": "SUITE 4",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "454494000",
            "telephone_number": "937-247-0400",
            "fax_number": "937-247-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COMMUNITY HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "BELLO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "513-293-7158",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FCHS, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Enix, RN
• Erica Enriquez
• Yesenia Esmeralda Enriquez
• Malitsa Anastaia Ewry
• Arrey I Eyongherok, FNP
• Brandy O Fligor
• Felisha Folsom
• Erik Paul Freckman
• Megan N Fredrick
• Amy Beth Gabringer, BA

• Home Health Agency in West Carrollton, OH
• Providers in West Carrollton, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.