Provider Demographics
NPI:1790990554
Name:HOOSIER'S CHOICE HOME HEALTH SERVICES INCORPORATED
Entity Type:Organization
Organization Name:HOOSIER'S CHOICE HOME HEALTH SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CERVANTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-769-0172
Mailing Address - Street 1:359 84TH DRIVE REAR
Mailing Address - Street 2:
Mailing Address - City:MERRIVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-0000
Mailing Address - Country:US
Mailing Address - Phone:219-769-0172
Mailing Address - Fax:219-769-0182
Practice Address - Street 1:359 84 TH DR.
Practice Address - Street 2:
Practice Address - City:MERRIVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-0000
Practice Address - Country:US
Practice Address - Phone:219-769-0172
Practice Address - Fax:219-769-0182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health