1St Choice Home Healthcare Lathrop Inc

Key facts

NPI: 1891375002
Entity type: Organization (NPI type 2)
Primary specialty: Home Health Agency 251E00000X
Legal business name: 1ST CHOICE HOME HEALTHCARE LATHROP INC
Practice address: 2321 W March LN Ste 220B
Stockton, CA 95207-5261
Phone: (209) 451-3242
Fax: (209) 594-1117
NPI assigned: Apr 12, 2021
Organization subpart: No

Authorized official

Name: Mr. Mohammad Aamir Hayat
Title: Managing Partner
Phone: (209) 451-3242

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

1St Choice Home Healthcare Lathrop Inc Community Based Hospice Care Agency · Stockton, CA · NPI 1528648730

NPD tax ID

Medicare Care Compare: Home health agency

Listed as: 1St Choice Home Healthcare CCN 757195
Overall star rating: ★★★★☆ 3.5 of 5
Ownership: -
Certified: Mar 16, 2023
Medicare certification status: Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA

Home health agency certification: CCN 757195

Legal name: 1ST CHOICE HOME HEALTHCARE LATHROP INC
Certification status: Active
Provider type (POS): Home health agency
Participating since: Mar 16, 2023
Last certification: Mar 16, 2023
Organization structure: Corporation · Proprietary
Incorporated: Jan 12, 2021 in CA
Enrollment address: 2321 W March LN
Ste 220B
Stockton, CA 95207-5261

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.

Name	Role	Since	Share
Mohammed a Hayat Individual	5% Or Greater Direct Ownership Interest Managing Partner	Jan 12, 2021	100%
	Corporate Officer Administrator	Jun 1, 2022	100%
	Corporate Director Board of Director	Jun 1, 2022	100%
	W-2 Managing Employee Administrator	Jan 12, 2021	100%

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20220926000910	CA	Part a Provider - Home Health Agency	0941686141	Practice locations: Stockton, CA

National Provider Directory

Tax ID family: 1St Choice Home Healthcare Lathrop Inc (2 organizations share this tax ID)

Locations

2321 W March Ln
Ste 220
Stockton, CA 95207

2321 W March Ln
Ste 220B
Stockton, CA 95207
Phone (209) 451-3242

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Agency	251E00000X			Yes

Addresses

Primary practice location

2321 W March LN Ste 220B
Stockton, CA 95207-5261

Mailing address

2321 W March LN Ste 220B
Stockton, CA 95207-5261

Other providers in Stockton, CA

All providers in Stockton, CA · Home Health Agency in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.