Provider Demographics
NPI:1750831244
Name:YOUR CHOICE HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:YOUR CHOICE HOME HEALTH CARE, LLC
Other - Org Name:YOUR CHOICE HOME HEALTH CARE, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/CFO
Authorized Official - Prefix:
Authorized Official - First Name:ROSALIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-848-4025
Mailing Address - Street 1:350 HARBOUR COVE DR
Mailing Address - Street 2:102
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-7874
Mailing Address - Country:US
Mailing Address - Phone:775-636-6269
Mailing Address - Fax:775-359-3520
Practice Address - Street 1:350 HARBOUR COVE DR
Practice Address - Street 2:102
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-7874
Practice Address - Country:US
Practice Address - Phone:775-636-6269
Practice Address - Fax:775-359-3520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8588-PCO-0253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care