First Choice Home Medical Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0000000653 Issued in TN

Legal business name

FIRST CHOICE HOME MEDICAL SUPPLIES, LLC

Doing business as

Convalescent Supplies

Practice address

5959 Shallowford Rd Ste 535
Chattanooga, TN 37421-2253

Phone

(423) 499-6242

Fax

(423) 499-6240

NPI assigned

Mar 6, 2007

Last updated

Sep 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela Crutchfield

Title

Sales Manager

Phone

(423) 499-6242

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Convalescent Supplies Doing business as

Tax ID family

Convalescent Supplies2 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.

• First Choice Home Medical Supply, LLC

  dba Convalescent Supplies

  • Durable Medical Equipment & Medical Supplies
  • Maryville, TN
  • NPI 1881028413
  NPD tax ID

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1740310234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W MADISON AVE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033427",
            "telephone_number": "423-745-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 SHALLOWFORD RD STE 535",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212253",
            "telephone_number": "423-499-6242",
            "fax_number": "423-499-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE HOME MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "CRUTCHFIELD",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "SALES MANAGER",
        "authorized_official_telephone_number": "423-499-6242",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000000653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "002009743",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1922898",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON",
            "identifier": "433207",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0810704",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARITEN",
            "identifier": "100023725",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3533493",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "COFS3921082",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Convalescent Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Finlay, RN
• Diana Finlayson, M.S.
• Martin Finnegan, MD
• Samantha A Finnegan, PTA
• Priscilla Lynne Finnell
• Desmond Lawrence Fischer, M.D.
• Annamaria Fish, PA-C
• Andi Fisher, LPC-MHSP, MACC, NCC
• Dacey Joy Fisher, DPT
• Daniel Franklin Fisher Jr., M.D.

• Durable Medical Equipment & Medical Supplies in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.