Provider Demographics
NPI:1699242701
Name:FIRST CHOICE PERSONAL CARE SERVICES LLC
Entity type:Organization
Organization Name:FIRST CHOICE PERSONAL CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAMEKKA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ASHFORD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:414-808-9143
Mailing Address - Street 1:2222 N MAYFAIR RD STE 210
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-2263
Mailing Address - Country:US
Mailing Address - Phone:262-643-4382
Mailing Address - Fax:262-643-4514
Practice Address - Street 1:2222 N MAYFAIR RD STE 100
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-2260
Practice Address - Country:US
Practice Address - Phone:414-539-4211
Practice Address - Fax:414-539-4311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-26
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100183550Medicaid