Provider Demographics
NPI:1538695093
Name:CHOICE HOME CARE CO INC
Entity Type:Organization
Organization Name:CHOICE HOME CARE CO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ESFIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELEGUDOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-452-1129
Mailing Address - Street 1:3103 LEEWARD DR
Mailing Address - Street 2:
Mailing Address - City:HAVERSTRAW
Mailing Address - State:NY
Mailing Address - Zip Code:10927-2127
Mailing Address - Country:US
Mailing Address - Phone:347-452-1129
Mailing Address - Fax:
Practice Address - Street 1:3103 LEEWARD DR
Practice Address - Street 2:
Practice Address - City:HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10927-2127
Practice Address - Country:US
Practice Address - Phone:347-452-1129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health