Provider Demographics
NPI:1467221663
Name:CHOICE ONE HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:CHOICE ONE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:WRITER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:313-295-5911
Mailing Address - Street 1:24306 EUREKA ROAD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-5166
Mailing Address - Country:US
Mailing Address - Phone:313-295-5911
Mailing Address - Fax:313-295-5920
Practice Address - Street 1:24306 EUREKA ROAD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-5166
Practice Address - Country:US
Practice Address - Phone:313-295-5911
Practice Address - Fax:313-295-5920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care