Provider Demographics
NPI:1114511904
Name:CHOOSE HOME CARE, INC.
Entity Type:Organization
Organization Name:CHOOSE HOME CARE, INC.
Other - Org Name:ATLANTIC HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JACKELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PLACENCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-974-1190
Mailing Address - Street 1:240 KENT AVE STE K3B9B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-4121
Mailing Address - Country:US
Mailing Address - Phone:646-974-1190
Mailing Address - Fax:646-974-1545
Practice Address - Street 1:240 KENT AVE STE K3B9B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-4121
Practice Address - Country:US
Practice Address - Phone:646-974-1190
Practice Address - Fax:646-974-1545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-23
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health