Organization Active NPI

First Choice Home Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Bowling Green, KY
National Provider Identifier
1275534778
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
108684-000 Issued in KY
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

Updated by the provider on Dec 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
90006008MedicaidKY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.