Provider Demographics
NPI:1427479062
Name:1ST CHOICE IN HOME CARE SERVICES
Entity type:Organization
Organization Name:1ST CHOICE IN HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:MIRANDA
Authorized Official - Last Name:GOWDY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:314-276-7853
Mailing Address - Street 1:PO BOX 142373
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63114-0373
Mailing Address - Country:US
Mailing Address - Phone:314-276-7853
Mailing Address - Fax:314-276-7853
Practice Address - Street 1:14220 OLD HALLS FERRY RD
Practice Address - Street 2:SUITE 201E
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63034-2400
Practice Address - Country:US
Practice Address - Phone:314-942-5373
Practice Address - Fax:314-942-5373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-28
Last Update Date:2013-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care