Organization Active NPI

First Choice West Coast HHC, Corp

  • Home Health Agency
  • Naples, FL
National Provider Identifier
1639831597
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FIRST CHOICE WEST COAST HHC, CORP
Practice address
5621 Strand Blvd
Suite 310a
Naples, FL 34110-7307
Phone
(239) 325-8683
Fax
(239) 631-2932
NPI assigned
Oct 8, 2021
Last updated
Jun 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Authorized official

Name
Mrs. Jessica Montero Daniel, REGISTERED NURSENPI 1023879392
Title
President
Phone
(239) 325-8683

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 Primary

Addresses

Primary practice location

5621 Strand Blvd
Suite 310a
Naples, FL 34110-7307

Mailing address

5621 Strand Blvd
Suite 310a
Naples, FL 34110-7307
Phone (239) 325-8683

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220826001893 FL Part A Provider - Home Health Agency 9537543483 Practice locations: Naples, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639831597. Details of each certification follow.

Home health agency certification: CCN 687241

Legal name
FIRST CHOICE WEST COAST HHC CORP
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 2, 2023
Last certification
Dec 21, 2022
Organization structure
CorporationProprietary
Incorporated
Apr 14, 2021 in FL
Enrollment address
5621 Strand Blvd
Ste 310a
Naples, FL 34110-7307

Care Compare: Home health agency

Medicare Care Compare
Listed as
First Choice West Coast HHC CorpCCN 687241 · All quality measures
Overall star rating
1.5 of 5
Ownership
-
Certified
Jan 2, 2023
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2265623First Choice West Coast HHC Corp5621 Strand Blvd Ste 310-a, Naples, FL 34110Certificate of waiverJul 28, 2028

National Provider Directory

National Provider Directory

Locations

5621 Strand Blvd
Ste 310A
Naples, FL 34110
Phone (239) 325-8683

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Jessica Daniel Individual 5% Or Greater Direct Ownership InterestOwner Apr 14, 2021 100%
Corporate OfficerPresident Apr 14, 2021 100%
Corporate DirectorDirector of Nursing Apr 3, 2022 100%
W-2 Managing EmployeeDon and Alt Administrator Apr 3, 2022 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1639831597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5621 STRAND BLVD",
            "address_2": "SUITE 310A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341107307",
            "telephone_number": "239-325-8683",
            "fax_number": "239-631-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5621 STRAND BLVD",
            "address_2": "SUITE 310A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341107307",
            "telephone_number": "239-325-8683",
            "fax_number": "239-631-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE WEST COAST HHC, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "MONTERO DANIEL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-325-8683",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.