First Choice in Home Care

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

302F00000X Issued in AZ

Legal business name

FIRST CHOICE IN HOME CARE

Practice address

3321 South Moore Circle
Flagstaff, AZ 86001

Phone

(928) 607-8834

NPI assigned

Dec 20, 2010

Last updated

Dec 20, 2010By 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. Dwight C Boyd II, N/A

Title

Sole Member/ Manager

Phone

(928) 607-8834

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1316240955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 S MOORE CIR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860018501",
            "telephone_number": "928-607-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 SOUTH MOORE CIRCLE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-607-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE IN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE MEMBER/ MANAGER",
        "authorized_official_telephone_number": "928-607-8834",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AZ",
            "license": "302F00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ryan M Fisher
• William Shane Fisher
• Flag Nutrition, LLC

• Exclusive Provider Organization in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Exclusive Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.