Provider Demographics
NPI:1669804829
Name:HEALTH CHOICE, LLC
Entity type:Organization
Organization Name:HEALTH CHOICE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-488-1111
Mailing Address - Street 1:5000 PORTSMOUTH BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23701-1955
Mailing Address - Country:US
Mailing Address - Phone:757-488-1111
Mailing Address - Fax:757-488-1116
Practice Address - Street 1:5000 PORTSMOUTH BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23701-1955
Practice Address - Country:US
Practice Address - Phone:757-488-1111
Practice Address - Fax:757-488-1116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health