1St Choice Consumer Directed Services, Inc.
Organization Active NPI In Home Supportive Care Agency · Phoenix, AZ
NPI 1639764459 · NPPES record last updated Mar 3, 2021
Key facts
- NPI
- 1639764459
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- 1ST CHOICE CONSUMER DIRECTED SERVICES, INC.
- Practice address
- 21725 N 20TH Ave
Suite 101-102 #1065
Phoenix, AZ 85027-2640 - Phone
- (623) 300-1200
- Fax
- (623) 666-6772
- NPI assigned
- Mar 3, 2021
- Organization subpart
- No
Authorized official
- Name
- Alfia Gimadeeva
- Title
- Cfo
- Phone
- (623) 300-1200
National Provider Directory
Locations
21725 N 20th Ave
Ste 101102
Phoenix, AZ 85027
Phone (602) 384-1648
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
21725 N 20TH Ave
Suite 101-102 #1065
Phoenix, AZ 85027-2640
Mailing address
21725 N 20TH Ave
Suite 101-102 #1065
Phoenix, AZ 85027-2640
Phone (623) 300-1200
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.