Primary Care at Home

First Choice Community Medical Services, P.C. is a house call program designed to meet the needs of homebound older adults, delivering primary, transitional, and post hospitalization care in the Merrimack Valley and beyond.

Primary Care at Home

First Choice Community Medical Services, P.C. is a house call program designed to meet the needs of homebound older adults, delivering primary, transitional and post hospitalization care in the Merrimack Valley and beyond.

Welcome to First Choice

First Choice Community Medical Services, P.C. (FCCMS) is a house call program designed to meet the needs of homebound older adults by delivering primary, transitional, and post hospitalization care in the Merrimack Valley and beyond. Here, we recognize the value of every person. We are guided by our commitment to excellence and leadership in providing skilled medical care for homebound older adults. Our committed, certified Nurse Practitioners and staff, allows us to maintain a quality of presence and a tradition of caring for our patients, which are hallmarks of our practice.

Certified Nurse Practitioners from FCCMS are highly trained and experienced in gerontological care. Our Nurse Practitioners visit patients to assess, diagnose, prescribe, and monitor plans of care for acute and chronic medical conditions, making sure patients enjoy the best possible quality of life — in their homes.

MEET OUR FOUNDERS

Leadership in healthcare is crucial for delivering quality patient care. Healthcare leaders need strong communication, decision-making, and strategic planning skills to manage resources, policies, and compliance.

Tracy Ann Ramos
Tracy Ann RamosMS, CNP
Tracy exemplifies the reasons why our practice is special. She provides personalized attention for all our patients, ensuring high quality care through her daily efforts.
James D. Tollman
James D. TollmanMD, FHM, CMD
Dr. James D. Tollman, Co-Founder of First Choice Community Medical Services serves as the collaborating physician, providing medical oversight to the program.

It only makes sense that the nurses that work for Tracy Ramos, NP would also carry her mission & values. I can’t say enough about Tracy and her team. They are highly competent and professional Nurse Practitioners.

– Heidi Isidro, Resident Care Specialist

Caregiver Resources

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Caregiving, as a duty, commends respect, albeit this responsibility can be physically and emotionally exhausting.

Become a Patient 

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Medicare requires patients be “homebound,” allowing us to visit the patient where they are most comfortable, in their home.

JOIN OUR TEAM

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We are a a close team and love to help build the careers of every member – come join our team!

Questions?

Whether you are looking for our services or you want to become a part of the First Choice family, we’d love to hear from you! Let us know if you have any questions! 

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