Active NPI
First Choice Home Medical LLC
- Durable Medical Equipment & Medical Supplies
- Bowling Green, KY
National Provider Identifier
1275534778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 108684-000
- Legal business name
- FIRST CHOICE HOME MEDICAL LLC
- Practice address
- 830 Fairview Ave Ste B5
Bowling Green, KY 42101-4912 - Phone
- (270) 393-9393
- Fax
- (270) 393-9383
- NPI assigned
- Aug 9, 2005
- 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
- Thad F Connally III
- Title
- President
- Phone
- (270) 393-9393
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 108684-000 | KY | Primary |
Addresses
Primary practice location
830 Fairview Ave Ste B5
Bowling Green, KY 42101-4912
Mailing address
PO Box 51485
Bowling Green, KY 42102-5785
Phone (270) 393-9393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90006008 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
901 Lehman Ave
Ste 9
Bowling Green, KY 42101
Phone (270) 393-9393
830 Fairview Ave
Ste B5
Bowling Green, KY 42101
Phone (270) 393-9393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608595200000",
"number": "1275534778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51485",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421025785",
"telephone_number": "270-393-9393",
"fax_number": "270-393-9383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 FAIRVIEW AVE STE B5",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421014912",
"telephone_number": "270-393-9393",
"fax_number": "270-393-9383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST CHOICE HOME MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A",
"authorized_official_last_name": "CONNALLY",
"authorized_official_first_name": "THAD",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "270-393-9393",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "108684-000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90006008",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.