Healthcare Provider Details

I. General information

NPI: 1982979316
Provider Name (Legal Business Name): MEDICS CHOICE HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2012
Last Update Date: 03/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1613 S MAIN STREET SUITE 102
MILPITAS CA
95035-6295
US

IV. Provider business mailing address

1613 S MAIN STREET SUITE 102
MILPITAS CA
95035-6295
US

V. Phone/Fax

Practice location:
  • Phone: 408-262-8801
  • Fax: 408-262-8806
Mailing address:
  • Phone: 408-262-8801
  • Fax: 408-262-8806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. FELINA G ROQUE
Title or Position: PRESIDENT/CEO
Credential: REGISTERED NURSE
Phone: 408-262-8801