Provider Demographics
NPI:1194228775
Name:CHOICE CITY HOME CARE LLC
Entity Type:Organization
Organization Name:CHOICE CITY HOME CARE LLC
Other - Org Name:SENIOR HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ATANASOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-658-8228
Mailing Address - Street 1:3101 KINTZLEY CT UNIT J
Mailing Address - Street 2:
Mailing Address - City:LAPORTE
Mailing Address - State:CO
Mailing Address - Zip Code:80535-9393
Mailing Address - Country:US
Mailing Address - Phone:970-658-8228
Mailing Address - Fax:970-658-8234
Practice Address - Street 1:3101 KINTZLEY CT UNIT J
Practice Address - Street 2:
Practice Address - City:LAPORTE
Practice Address - State:CO
Practice Address - Zip Code:80535-9393
Practice Address - Country:US
Practice Address - Phone:970-658-8228
Practice Address - Fax:970-658-8234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-09
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04Y303253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care