Active NPI
First Choice Health Care LLC
- Home Health Agency
- Milwaukee, WI
National Provider Identifier
1386827996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 157766-030
- Legal business name
- FIRST CHOICE HEALTH CARE LLC
- Practice address
- 3953 N 76TH St Ste 304
Milwaukee, WI 53222-3059 - Phone
- (414) 462-3560
- Fax
- (414) 462-3563
- NPI assigned
- Dec 6, 2007
- 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
- Mr. Matthew Sebuliba, RN
- Title
- Adminstrator
- Phone
- (414) 462-3560
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 157766-030 | WI | Primary |
Addresses
Primary practice location
3953 N 76TH St Ste 304
Milwaukee, WI 53222-3059
Mailing address
3953 N 76TH St Ste 304
Milwaukee, WI 53222-3059
Phone (414) 462-3560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100012553 | Medicaid | WI |
National Provider Directory
National Provider Directory- Tax ID family
- First Choice Health Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Milwaukee, WI
- NPI 1124372560
Locations
3953 N 76th St
Ste 304
Milwaukee, WI 53222
Phone (414) 462-3560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299110400000",
"number": "1386827996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3953 N 76TH ST STE 304",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532223059",
"telephone_number": "414-462-3560",
"fax_number": "414-462-3563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3953 N 76TH ST STE 304",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532223059",
"telephone_number": "414-462-3560",
"fax_number": "414-462-3563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST CHOICE HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-06",
"last_updated": "2011-03-03",
"status": "A",
"authorized_official_last_name": "SEBULIBA",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "ADMINSTRATOR",
"authorized_official_telephone_number": "414-462-3560",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WI",
"license": "157766-030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100012553",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.