Healthcare Provider Details

I. General information

NPI: 1053256024
Provider Name (Legal Business Name): SIMPLE CHOICE HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 N LA BREA AVE STE 500
WEST HOLLYWOOD CA
90038-2458
US

IV. Provider business mailing address

925 N LA BREA AVE STE 500
WEST HOLLYWOOD CA
90038-2458
US

V. Phone/Fax

Practice location:
  • Phone: 888-835-1999
  • Fax:
Mailing address:
  • Phone: 888-835-1999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VLADYSLAV BACHYNSKYI
Title or Position: MANAGER
Credential:
Phone: 888-835-1999