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NPI Code Detail

MEDICARE: HOME CHOICE NV LLC

MEDICARE: HOME CHOICE NV 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1467337568
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME CHOICE NV LLC
Provider Business Mailing Address
First Line : 5 RENEE CT
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-2146
Country : US
Telephone Number : 718-513-6641
Fax Number : 718-717-8277
Provider Business Practice Location Address
First Line : 5 RENEE CT
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-2146
Country : US
Telephone Number : 848-525-1551
Fax Number : 718-717-8277
Authorized Official
Title or Position : C.E.O
Name : MOISHE TABAK
Credential :
Telephone Number : 848-525-1551
Provider Enumeration Date : 08/07/2025
Last Update Date : 08/07/2025

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Directions to “HOME CHOICE NV LLC ” Practice Location

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