FIRST CHOICE RESIDENTIAL (NPI# 1083263784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083263784 |
| Entity Type | Organization |
| Organization Name | FIRST CHOICE RESIDENTIAL |
| Practice Address |
19375 Harmony Ave Rogers MN 55374-4828 |
| Practice Telephone | 7632323558 |
| Mailing Telephone | 7632323558 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Authorized Official Name | MR. MOMODOU FOFANA (ADMINISTRATOR) |
| Authorized Official Telephone | 7632323558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | Agencies |
| Other Name | Type Code |
|---|---|
| First Choice Residential | Other Name - Individual/Organization |
| Street Address |
19375 HARMONY AVE |
| City | ROGERS |
| State | MN |
| Zip Code | 55374-4828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274005 | First Choice Residential LLC | Nursing Care | 19375 Harmony Ave, Rogers, MN 55374-4828 | 2020-08-10 |
| 1578107884 | First Choice Residential LLC | Home Health | 19375 Harmony Ave, Rogers, MN 55374-4828 | 2019-10-30 |
| 1366090151 | Momodou Fofana | Home Health | 19375 Harmony Ave, Rogers, MN 55374-4828 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335835 | Rebecca Loehrer | Nurse Practitioner | 21370 Ste 210 John Milless Dr., Rogers, MN 55374 | 2019-03-18 |
| 1255722328 | Samantha Colai | Marriage & Family Therapist | 21307 John Milless Drive, Suite 106, Rogers, MN 55374 | 2015-02-11 |
| 1437559648 | Jamie Mosley | Counselor | 2100 Rogers Drive, Suite 200, Rogers, MN 55374 | 2014-08-26 |
| 1295145886 | Marisa Kolasa | Massage Therapist | 22290 Oakdale Drive, Rogers, MN 55374 | 2014-05-05 |
| 1871878165 | Derek P Doty Dc Inc | Chiropractor | 21410 136th Ave N, Suite 105a, Rogers, MN 55374 | 2011-10-18 |
| 1912205865 | Michelle Cheryl Finnegan-larson | Registered Nurse | 21308 John Milless Drive, Rogers, MN 55374 | 2011-03-02 |
| 1639402571 | Ascend Family Institute | Community/Behavioral Health | 20980 Rogers Drive, #400, Rogers, MN 55374 | 2009-09-10 |
| 1275738403 | Nicole M Clements | Physician Assistant | 1355 Rogers Drive, Rogers, MN 55374 | 2007-06-18 |
| 1558566166 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 21455 John Milless Drive, Rogers, MN 55374 | 2007-06-15 |
| 1811062854 | Randall Alvin Hohbein | Pharmacist | 21351 John Milless Drive, Rogers Drug, Rogers, MN 55374 | 2006-11-22 |
| Find all providers in zip 55374 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275766495 | Quality Care Home Health Inc | Nursing Care | 21135 S Diamond Lake Rd, Suite 103, Rogers, MN 55374-5502 | 2009-09-03 |
| 1588274005 | First Choice Residential LLC | Nursing Care | 19375 Harmony Ave, Rogers, MN 55374-4828 | 2020-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283044 | Tc Healthcare | Nursing Care | 505 Highway 169 N Ste 255, Plymouth, MN 55441-6463 | 2020-10-19 |
| 1215546858 | B&l Anesthesia | Nursing Care | 5006 Woodlawn St, Duluth, MN 55804-1180 | 2020-07-29 |
| 1114535473 | Premium Health Care Inc. | Nursing Care | 1 W Lake St Apt 221, Minneapolis, MN 55408-3151 | 2020-07-22 |
| 1477170231 | Midwest Group Homes LLC | Nursing Care | 1411 W Saint Germain St Ste 6, Saint Cloud, MN 56301-4179 | 2020-06-28 |
| 1427672021 | Caring Rose Homes LLC | Nursing Care | 1043 Hague Ave, Saint Paul, MN 55104-6520 | 2020-05-31 |
| 1164043683 | Nina Philicia Bangu | Nursing Care | 18837 Smith Dr Nw, Elk River, MN 55330-7510 | 2020-05-06 |
| 1861012700 | Open Arms Group Home LLC | Nursing Care | 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 | 2020-04-21 |
| 1154941128 | Gentle Haven | Nursing Care | 8045 159th St W, Apple Valley, MN 55124-7054 | 2020-04-20 |
| 1659991545 | Belong Health Care | Nursing Care | 4809 Oxborough Gdns, Brooklyn Park, MN 55443-3993 | 2020-04-20 |
| 1316574007 | Hope Wellness Center Inc. | Nursing Care | 3119 4th Ave S, Minneapolis, MN 55408-3231 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FIRST CHOICE RESIDENTIAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.