Provider Demographics
NPI: | 1669006847 |
---|---|
Name: | TRUE CHOICE HHA |
Entity Type: | Organization |
Organization Name: | TRUE CHOICE HHA |
Other - Org Name: | TRUE CHOICE HHA LLC. |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | DIRECTOR |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | NASRA |
Authorized Official - Middle Name: | MOHAMED |
Authorized Official - Last Name: | SALAH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 248-574-1612 |
Mailing Address - Street 1: | 2156 E EDEN CT |
Mailing Address - Street 2: | |
Mailing Address - City: | ANN ARBOR |
Mailing Address - State: | MI |
Mailing Address - Zip Code: | 48108-2510 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 248-574-1612 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2156 E EDEN CT |
Practice Address - Street 2: | |
Practice Address - City: | ANN ARBOR |
Practice Address - State: | MI |
Practice Address - Zip Code: | 48108-2510 |
Practice Address - Country: | US |
Practice Address - Phone: | 248-574-1612 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-02-27 |
Last Update Date: | 2021-01-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care |
Yes | 251E00000X | Agencies | Home Health | |
No | 385H00000X | Respite Care Facility | Respite Care |