Provider Demographics
NPI:1821440579
Name:CAREGIVER'S CHOICE LLC
Entity Type:Organization
Organization Name:CAREGIVER'S CHOICE LLC
Other - Org Name:CAREGIVER'S CHOICE NURSES & HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICKI
Authorized Official - Middle Name:SHONNELL
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:636-385-3500
Mailing Address - Street 1:624 SANCHO CIR
Mailing Address - Street 2:
Mailing Address - City:D FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368
Mailing Address - Country:US
Mailing Address - Phone:636-385-3500
Mailing Address - Fax:
Practice Address - Street 1:12 GRAVIS STATION ROAD
Practice Address - Street 2:
Practice Address - City:HOUSE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:63051
Practice Address - Country:US
Practice Address - Phone:636-385-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-06
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care