Provider Demographics
NPI:1194214460
Name:J.J CHOICE INC. DBA VISITING ANGELS
Entity Type:Organization
Organization Name:J.J CHOICE INC. DBA VISITING ANGELS
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:NOEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-283-5921
Mailing Address - Street 1:1470 NEW STATE HWY UNIT 3
Mailing Address - Street 2:
Mailing Address - City:RAYNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02767-5421
Mailing Address - Country:US
Mailing Address - Phone:774-501-3861
Mailing Address - Fax:774-501-3923
Practice Address - Street 1:1470 NEW STATE HWY UNIT 3
Practice Address - Street 2:
Practice Address - City:RAYNHAM
Practice Address - State:MA
Practice Address - Zip Code:02767-5421
Practice Address - Country:US
Practice Address - Phone:774-501-3861
Practice Address - Fax:774-501-3923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAXXXXXXXXXXMedicaid