Provider Demographics
NPI:1649359928
Name:HOMECHOICE PARTNERS, LLC
Entity type:Organization
Organization Name:HOMECHOICE PARTNERS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-879-6137
Mailing Address - Street 1:PO BOX 418711
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-8711
Mailing Address - Country:US
Mailing Address - Phone:800-879-6137
Mailing Address - Fax:
Practice Address - Street 1:160 CONGRESS BLVD
Practice Address - Street 2:STE D
Practice Address - City:DUNCAN
Practice Address - State:SC
Practice Address - Zip Code:29334-9478
Practice Address - Country:US
Practice Address - Phone:864-583-8190
Practice Address - Fax:864-583-8193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336M0002X, 3336S0011X, 261QI0500X, 332B00000X, 332BP3500X, 333600000X, 3336C0003X, 3336C0004X
SC500096483336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC14386OtherLICENSE
NC11451OtherLICENSE
SC7704421Medicaid
SCDE2506Medicaid
4225389OtherNCPDP PROVIDER IDENTIFICATION NUMBER
SC776732Medicaid
SC776732Medicaid