Active NPI
First Choice Home Health Care LLC
- Home Health Agency
- Duncanville, TX
National Provider Identifier
1992869796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 006374
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- Proprietary
- Certified
- Oct 3, 1996
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0917140 | First Choice Home Health Care | Certificate of waiver | Jul 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Alonza Williams | Operational/Managerial Control | Nov 18, 2012 | 10% |
| Charlesetta Williams | 5% Or Greater Direct Ownership Interest | Aug 27, 1996 | 100% |
| Operational/Managerial Control | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.