Provider Demographics
NPI:1740805522
Name:COMMUNITY CHOICE HOME CARE LLC
Entity Type:Organization
Organization Name:COMMUNITY CHOICE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINMETZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-851-1111
Mailing Address - Street 1:271 CEDARHURST AVE APT E6
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1664
Mailing Address - Country:US
Mailing Address - Phone:516-502-5844
Mailing Address - Fax:
Practice Address - Street 1:2080 W COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-2015
Practice Address - Country:US
Practice Address - Phone:516-502-5844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-08
Last Update Date:2022-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care