Organization Active NPI

First Choice Home Health Agency

  • Home Health Agency
  • Corona, CA
National Provider Identifier
1558725663
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FIRST CHOICE HOME HEALTH AGENCY
Doing business as
First choice home health Agency
Practice address
1307 W 6TH St Ste 203
Corona, CA 92882-1642
Phone
(951) 214-5149
NPI assigned
Apr 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Joy N Eubany, RNNPI 1376401158
Title
Administrator
Phone
(951) 214-5149

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 CA Primary

Addresses

Primary practice location

1307 W 6TH St Ste 203
Corona, CA 92882-1642

Mailing address

1426 W 6TH St Ste 202
Corona, CA 92882-3037

Other names 1

  • First choice home health Agency Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180508002526 CA Part A Provider - Home Health Agency 5890059331 Practice locations: Corona, CA

Home health agency certification: CCN 553163

Legal name
FIRST CHOICE HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 30, 2019
Last certification
Jan 30, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 17, 2016 in CA
Enrollment address
1307 W 6TH St
Ste 203
Corona, CA 92882-1642

Care Compare: Home health agency

Medicare Care Compare
Listed as
First Choice Home Health AgencyCCN 553163 · All quality measures
Ownership
Proprietary
Certified
Jan 30, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D2143750First Choice Home Health Agency1307 W 6TH St, Ste 203, Corona, CA 92882Certificate of waiverFeb 4, 2028

National Provider Directory

National Provider Directory

Locations

1307 W 6th St
Ste 203
Corona, CA 92882
Phone (951) 214-5149

1426 W 6th St
Ste 202
Corona, CA 92882
Phone (951) 421-4111

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kennedy Eubany Individual 5% Or Greater Direct Ownership InterestPresident/Ceo/Cfo/ Mar 17, 2016 50%
Corporate DirectorPresident/Ceo/Cfo Mar 17, 2016 50%
Joy Eubany Individual 5% Or Greater Direct Ownership InterestSecretary Mar 17, 2016 50%
Corporate DirectorSecretary Mar 17, 2016 50%
Operational/Managerial ControlAdministrator Mar 17, 2016 50%

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1558725663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 W 6TH ST STE 202",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W 6TH ST STE 203",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928821642",
            "telephone_number": "951-214-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "EUBANY",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-214-5149",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First choice home health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First choice home health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.