Provider Demographics
NPI:1093020711
Name:CHOICE HOME CARE SPECIALISTS
Entity Type:Organization
Organization Name:CHOICE HOME CARE SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:JERNIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-445-0705
Mailing Address - Street 1:3928 MONTCLAIR RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-2426
Mailing Address - Country:US
Mailing Address - Phone:205-445-0705
Mailing Address - Fax:205-445-0704
Practice Address - Street 1:3928 MONTCLAIR RD
Practice Address - Street 2:SUITE 202
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-2426
Practice Address - Country:US
Practice Address - Phone:205-445-0705
Practice Address - Fax:205-445-0704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health