Provider Demographics
NPI:1891379376
Name:GOOD CHOICE HOME CARE,LLC
Entity Type:Organization
Organization Name:GOOD CHOICE HOME CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NTI OWUSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-269-7275
Mailing Address - Street 1:3379 THORNAPPLE CIR N
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-6109
Mailing Address - Country:US
Mailing Address - Phone:614-269-7275
Mailing Address - Fax:
Practice Address - Street 1:3379 THORNAPPLE CIR N
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-6109
Practice Address - Country:US
Practice Address - Phone:614-269-7275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health