Organization Active NPI

First Choice Health Care LLC

  • Home Health Agency
  • Milwaukee, WI
National Provider Identifier
1386827996
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
157766-030 Issued in WI
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

Updated by the provider on Mar 3, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100012553MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
First Choice Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.