Healthcare Provider Details

I. General information

NPI: 1467221663
Provider Name (Legal Business Name): CHOICE ONE HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2023
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24306 EUREKA ROAD
TAYLOR MI
48180-5166
US

IV. Provider business mailing address

24306 EUREKA ROAD
TAYLOR MI
48180-5166
US

V. Phone/Fax

Practice location:
  • Phone: 313-295-5911
  • Fax: 313-295-5920
Mailing address:
  • Phone: 313-295-5911
  • Fax: 313-295-5920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: FELISA WRITER
Title or Position: ADMINISTRATOR
Credential: PHD
Phone: 313-295-5911