Provider Demographics
NPI:1851037766
Name:PERFECT CHOICE HOME CARE
Entity Type:Organization
Organization Name:PERFECT CHOICE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:LATRICE
Authorized Official - Last Name:SNEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-725-9055
Mailing Address - Street 1:PO BOX 2584
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-4584
Mailing Address - Country:US
Mailing Address - Phone:919-725-9055
Mailing Address - Fax:919-725-9071
Practice Address - Street 1:144 MAIN ST STE 111
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-3370
Practice Address - Country:US
Practice Address - Phone:919-725-9055
Practice Address - Fax:919-725-9071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-12
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC220197Medicaid
NCHC6498Medicaid