Provider Demographics
NPI:1801508171
Name:STAR CHOICE HOMECARE LLC
Entity type:Organization
Organization Name:STAR CHOICE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CICELY
Authorized Official - Middle Name:L
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:HOME HEALTHCARE
Authorized Official - Phone:757-559-3107
Mailing Address - Street 1:464 INVESTORS PL STE 206E
Mailing Address - Street 2:
Mailing Address - City:VA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-1384
Mailing Address - Country:US
Mailing Address - Phone:757-384-3232
Mailing Address - Fax:757-384-3233
Practice Address - Street 1:464 INVESTORS PL STE 206E
Practice Address - Street 2:
Practice Address - City:VA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1384
Practice Address - Country:US
Practice Address - Phone:757-384-3232
Practice Address - Fax:757-384-3233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health