MEDICARE: DOCTOR'S CHOICE HOME CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	108480	FL

General Provider Information

NPI Number	:	1205051497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTOR'S CHOICE HOME CARE, LLC

Provider Business Mailing Address
First Line	:	400 INTERSTATE NORTH PKWY SE STE 1600
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-5047
Country	:	US
Telephone Number	:	470-464-8000
Fax Number	:	770-248-8192

Provider Business Practice Location Address
First Line	:	7220 BENEVA RD
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34238-2806
Country	:	US
Telephone Number	:	833-283-6286
Fax Number	:	941-925-2044

Authorized Official
Title or Position	:	CFO
Name	:	MATTHEW BUCKHALTER
Credential	:
Telephone Number	:	470-464-8000

Provider Enumeration Date	:	04/15/2007
Last Update Date	:	01/27/2025

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