Organization Active NPI

First Choice Health Services LLC

  • Developmental Disabilities Clinic/Center
  • Bowie, MD
National Provider Identifier
1396216495
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
FIRST CHOICE HEALTH SERVICES LLC
Practice address
14802 Bowie Farm CT
Bowie, MD 20721-6226
Phone
(202) 904-5237
NPI assigned
Dec 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

Name
Joseph Kometa NgwafaNPI 1134944267
Title
Owner
Phone
(202) 904-5237

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

14802 Bowie Farm CT
Bowie, MD 20721-6226

Mailing address

14802 Bowie Farm CT
Bowie, MD 20721-6226
Phone (202) 904-5237

Other identifiers 1

IdentifierTypeStateIssuer
037934200MedicaidDC

National Provider Directory

National Provider Directory
Tax ID family
First Choice Health Services 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1396216495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14802 BOWIE FARM CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207216226",
            "telephone_number": "202-904-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14802 BOWIE FARM CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207216226",
            "telephone_number": "202-904-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "NGWAFA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "KOMETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-904-5237"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037934200",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.