Active NPI
First Choice Community Care, LLC
- Adult Care Home Facility
- Warren, MI
National Provider Identifier
1356028641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- FIRST CHOICE COMMUNITY CARE, LLC
- Practice address
- 23574 Columbus Ave
Warren, MI 48089 - Phone
- (313) 629-5957
- NPI assigned
- Jun 29, 2023
- 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
- Rodney Derryle Barber
- Title
- Ceo/Owner
- Phone
- (313) 938-1722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
23574 Columbus Ave
Warren, MI 48089
Mailing address
22768 Piper Ave
Eastpointe, MI 48021
Phone (313) 629-5957
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687996800000",
"number": "1356028641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22768 PIPER AVE",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "48021",
"telephone_number": "313-629-5957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23574 COLUMBUS AVE",
"city": "WARREN",
"state": "MI",
"postal_code": "48089",
"telephone_number": "313-629-5957"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST CHOICE COMMUNITY CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-29",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A",
"authorized_official_last_name": "BARBER",
"authorized_official_first_name": "RODNEY",
"authorized_official_middle_name": "DERRYLE",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "313-938-1722"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.