Provider Demographics
NPI:1770650111
Name:CHOICE HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:CHOICE HOME HEALTH CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:HAJI-AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-422-6301
Mailing Address - Street 1:3711 N DECATUR RD
Mailing Address - Street 2:SUITE 107,
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-1000
Mailing Address - Country:US
Mailing Address - Phone:404-508-1214
Mailing Address - Fax:404-508-8551
Practice Address - Street 1:3711 N DECATUR RD
Practice Address - Street 2:SUITE 107,
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-1000
Practice Address - Country:US
Practice Address - Phone:404-508-1214
Practice Address - Fax:404-508-8551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA044-R-0195251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care