Provider Demographics
NPI:1578689386
Name:PHYSICIANS CHOICE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:PHYSICIANS CHOICE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-261-1329
Mailing Address - Street 1:PO BOX 401340
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48240-9340
Mailing Address - Country:US
Mailing Address - Phone:734-261-1329
Mailing Address - Fax:734-261-1351
Practice Address - Street 1:31875 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-1907
Practice Address - Country:US
Practice Address - Phone:734-261-1329
Practice Address - Fax:734-261-1351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI828060251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237636Medicare ID - Type Unspecified