Provider Demographics
NPI:1518418771
Name:YOUR CHOICE HOME HEALTH CARE
Entity Type:Organization
Organization Name:YOUR CHOICE HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-636-6269
Mailing Address - Street 1:350 HARBOUR COVE DR APT 102
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-7862
Mailing Address - Country:US
Mailing Address - Phone:775-636-6269
Mailing Address - Fax:775-359-3520
Practice Address - Street 1:350 HARBOUR COVE DR APT 102
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-7862
Practice Address - Country:US
Practice Address - Phone:775-636-6269
Practice Address - Fax:775-359-3520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-21
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8588PCO0253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care