1ST CHOICE RESIDENTIAL LLC – NPI #1972023711
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1ST CHOICE RESIDENTIAL LLC is a community based residential treatment facility located in LONGVIEW, TX. NPPES has assigned the NPI number 1972023711 to 1ST CHOICE RESIDENTIAL LLC on June 22, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 1ST CHOICE RESIDENTIAL LLC below.

NPI Profile for
1ST CHOICE RESIDENTIAL LLC

NPI Number
1972023711
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
1ST CHOICE RESIDENTIAL LLC
Primary location
500 S JEAN DR
LONGVIEW, TX 75602-5343
Phone: (903) 471-0589 Fax: (903) 708-6217
1 Other location(s):
510 S Jean Dr
Longview, TX 75602-5343
Phone: (903) 471-0589
Fax: (903) 708-6217
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KRISTY DUFFIE
EXECUTIVE DIRECTOR
Phone: (903) 252-2632
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
251C00000X
- Day Training, Developmentally Disabled Services

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.