Provider Demographics
NPI:1619514023
Name:FAMILIES CHOICE HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:FAMILIES CHOICE HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF MARKETING
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:INGRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-303-9375
Mailing Address - Street 1:545 N MOUNTAIN AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-5055
Mailing Address - Country:US
Mailing Address - Phone:909-303-9377
Mailing Address - Fax:909-581-8062
Practice Address - Street 1:545 N MOUNTAIN AVE STE 209
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-5055
Practice Address - Country:US
Practice Address - Phone:909-303-9377
Practice Address - Fax:909-581-8062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty