Provider Demographics
NPI:1326182692
Name:NUCHOICE HEALTH PARTNERS LLC
Entity Type:Organization
Organization Name:NUCHOICE HEALTH PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:VANSICKLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-981-5505
Mailing Address - Street 1:2919 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-2748
Mailing Address - Country:US
Mailing Address - Phone:724-981-5505
Mailing Address - Fax:724-981-9218
Practice Address - Street 1:2919 E STATE ST
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-2748
Practice Address - Country:US
Practice Address - Phone:724-981-5505
Practice Address - Fax:724-981-9218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1017380770003Medicaid
PA1017380770001Medicaid