Provider Demographics
NPI:1689063398
Name:HOME HEALTH CHOICES, LLC
Entity Type:Organization
Organization Name:HOME HEALTH CHOICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHANTEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WILCOX
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:216-402-4089
Mailing Address - Street 1:5328 CATO ST
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-2662
Mailing Address - Country:US
Mailing Address - Phone:216-402-4089
Mailing Address - Fax:
Practice Address - Street 1:5328 CATO ST
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-2662
Practice Address - Country:US
Practice Address - Phone:216-402-4089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-19
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health