Provider Demographics
NPI:1326203779
Name:MY CHOICE HOME CARE, LLC
Entity Type:Organization
Organization Name:MY CHOICE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMACHANDRA
Authorized Official - Middle Name:REDDY
Authorized Official - Last Name:GONGATI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:248-436-4850
Mailing Address - Street 1:28200 WEST 7 MILE ROAD
Mailing Address - Street 2:SUTE#128
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3736
Mailing Address - Country:US
Mailing Address - Phone:248-436-4850
Mailing Address - Fax:248-777-0001
Practice Address - Street 1:28200 7 MILE RD
Practice Address - Street 2:SUTE#128
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3794
Practice Address - Country:US
Practice Address - Phone:248-436-4850
Practice Address - Fax:248-777-0001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health