Provider Demographics
NPI:1922534783
Name:CHOICES HOME CARE, INC.
Entity Type:Organization
Organization Name:CHOICES HOME CARE, INC.
Other - Org Name:GENEVA HOME CARE, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-819-0522
Mailing Address - Street 1:2214 GENEVA RD NE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:MN
Mailing Address - Zip Code:56308-8995
Mailing Address - Country:US
Mailing Address - Phone:320-762-1501
Mailing Address - Fax:320-219-7388
Practice Address - Street 1:2214 GENEVA RD NE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308-8995
Practice Address - Country:US
Practice Address - Phone:320-762-1501
Practice Address - Fax:320-219-7388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA966478000OtherUNIQUE MINNESOTA PROVIDER IDENTIFIERS