Organization Active NPI

1St Choice Home Health LLC

  • Home Health Agency
  • Fort Wayne, IN
National Provider Identifier
1356024285
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
1ST CHOICE HOME HEALTH LLC
Practice address
6527 Constitution Dr
Fort Wayne, IN 46804-1551
Phone
(260) 298-8297
NPI assigned
Aug 8, 2023
Last updated
Apr 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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

Authorized official

Name
Ashley BrownNPI 1265095897
Title
President
Phone
(260) 440-9784

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 NU Primary

Addresses

Primary practice location

6527 Constitution Dr
Fort Wayne, IN 46804-1551

Mailing address

402 E Main St
Fort Wayne, IN 46802-1910
Phone (260) 503-2046

Other practice location 1

402 E Main St
Fort Wayne, IN 46802-1910
Phone (260) 503-2046

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D22953251St Choice Home Health LLC6527 Constitution Dr, Fort Wayne, IN 46804Certificate of waiverDec 7, 2027

National Provider Directory

National Provider Directory

Locations

402 E Main St
Fort Wayne, IN 46802
Phone (260) 425-2640

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714176000000",
    "number": "1356024285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E MAIN ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468021910",
            "telephone_number": "260-503-2046",
            "fax_number": "260-918-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6527 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041551",
            "telephone_number": "260-298-8297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 E Main St",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468021910",
            "country_code": "US",
            "telephone_number": "260-503-2046",
            "fax_number": "260-918-9507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "1ST CHOICE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-440-9784"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.