Provider Demographics
NPI:1033475579
Name:ASSISTIVE CHOICES INCORPORATED
Entity Type:Organization
Organization Name:ASSISTIVE CHOICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PALENDRANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-681-6004
Mailing Address - Street 1:3211 SUNSET AVE.
Mailing Address - Street 2:SUITE 2
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-4552
Mailing Address - Country:US
Mailing Address - Phone:732-681-6004
Mailing Address - Fax:732-681-8208
Practice Address - Street 1:3211 SUNSET AVE.
Practice Address - Street 2:SUITE 2
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712
Practice Address - Country:US
Practice Address - Phone:732-681-6004
Practice Address - Fax:732-681-8208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-10
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHPO117700251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health