Provider Demographics
NPI:1609436450
Name:CHOICES COORDINATED CARE SOLUTIONS, INC.
Entity Type:Organization
Organization Name:CHOICES COORDINATED CARE SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCREDITATION AND COMPLIANCE MANAGE
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:CANGANY
Authorized Official - Suffix:
Authorized Official - Credentials:CHC
Authorized Official - Phone:317-205-8266
Mailing Address - Street 1:7941 CASTLEWAY DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-1953
Mailing Address - Country:US
Mailing Address - Phone:317-205-8266
Mailing Address - Fax:
Practice Address - Street 1:2620 CENTENARY BLVD STE 180
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-3358
Practice Address - Country:US
Practice Address - Phone:318-221-1807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHOICES COORDINATED CARE SOLUTIONS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management