Organization Active NPI

First Choice Home Health Care LLC

  • Home Health Agency
  • Duncanville, TX
National Provider Identifier
1992869796
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
006374 Issued in TX
Legal business name
FIRST CHOICE HOME HEALTH CARE LLC
Practice address
106 E Fain St
Duncanville, TX 75116-3527
Phone
(972) 780-1117
Fax
(972) 780-1231
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Mrs. Charles Etta Williams
Title
Administrator
Phone
(972) 780-1117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 006374 TX Primary

Addresses

Primary practice location

106 E Fain St
Duncanville, TX 75116-3527

Mailing address

106 E Fain St
Duncanville, TX 75116-3527
Phone (972) 780-1117

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100225000387 TX Part A Provider - Home Health Agency 7911041140 Practice locations: Duncanville, TX

Home health agency certification: CCN 678475

Legal name
FIRST CHOICE HOME HEALTH CARE LLC
Doing business as
FIRST CHOICE HOME HEALTH CARE AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 3, 1996
Last certification
Dec 7, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 21, 1996 in TX
Enrollment address
106 E Fain St
Duncanville, TX 75116-3527

Care Compare: Home health agency

Medicare Care Compare
Listed as
First Choice Home Health Care LLCCCN 678475
Ownership
Proprietary
Certified
Oct 3, 1996
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
45D0917140First Choice Home Health Care106 E Fain Street, Duncanville, TX 75116Certificate of waiverJul 9, 2028

National Provider Directory

National Provider Directory

Locations

106 E Fain St
Duncanville, TX 75116
Phone (972) 780-1117

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
Alonza Williams Individual Operational/Managerial ControlAsst Admin Nov 18, 2012 10%
Charlesetta Williams Individual 5% Or Greater Direct Ownership Interest Aug 27, 1996 100%
Operational/Managerial ControlAdmin Aug 27, 1996 90%

Practitioners & affiliated clinicians

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1992869796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E FAIN ST",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163527",
            "telephone_number": "972-780-1117",
            "fax_number": "972-780-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E FAIN ST",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163527",
            "telephone_number": "972-780-1117",
            "fax_number": "972-780-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHARLES ETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-780-1117",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "006374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

Verify at the official NPI Registry.