Provider Demographics
NPI:1205069473
Name:CHOICE HOMECARE, INC.
Entity type:Organization
Organization Name:CHOICE HOMECARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHIKA
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:OGUNNAIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-894-4151
Mailing Address - Street 1:14101 VALLEYHEART DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2864
Mailing Address - Country:US
Mailing Address - Phone:818-370-8842
Mailing Address - Fax:
Practice Address - Street 1:14101 VALLEYHEART DR STE 200
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-2864
Practice Address - Country:US
Practice Address - Phone:818-370-8842
Practice Address - Fax:818-894-4977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-03
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
CA550001419251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059358Medicaid
CA6371140Medicaid
CA059358Medicare Oscar/Certification