Provider Demographics
NPI:1306479563
Name:A PATIENT'S CHOICE HOME HEALTH LLC
Entity type:Organization
Organization Name:A PATIENT'S CHOICE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:ROSEMARIE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-626-4575
Mailing Address - Street 1:1922 SE PORT ST. LUCIE BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-5514
Mailing Address - Country:US
Mailing Address - Phone:772-249-4527
Mailing Address - Fax:772-264-8569
Practice Address - Street 1:1922 SE PORT ST. LUCIE BLVD
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-5514
Practice Address - Country:US
Practice Address - Phone:772-249-4527
Practice Address - Fax:772-264-8569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-17
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care