Provider Demographics
NPI:1669950101
Name:THE WRIGHT CHOICE HEALTHCARE AGENCY,LLC
Entity type:Organization
Organization Name:THE WRIGHT CHOICE HEALTHCARE AGENCY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNTEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:614-680-1638
Mailing Address - Street 1:4867 NIELES EDGE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-6500
Mailing Address - Country:US
Mailing Address - Phone:614-680-1638
Mailing Address - Fax:614-829-7579
Practice Address - Street 1:4867 NIELES EDGE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-6500
Practice Address - Country:US
Practice Address - Phone:614-680-1638
Practice Address - Fax:614-829-7579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-06
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163W00000X, 251E00000X
OH251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0200368Medicaid