Provider Demographics
NPI:1225466030
Name:CHOICE CARE HOME SERVICES LLC
Entity Type:Organization
Organization Name:CHOICE CARE HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRGEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:214-606-0323
Mailing Address - Street 1:2151 KING AVE
Mailing Address - Street 2:APT 9
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50320-2902
Mailing Address - Country:US
Mailing Address - Phone:515-777-6499
Mailing Address - Fax:
Practice Address - Street 1:3619 6TH AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50313-4154
Practice Address - Country:US
Practice Address - Phone:515-777-6499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-15
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care