Healthcare Provider Details

I. General information

NPI: 1235418641
Provider Name (Legal Business Name): CHOICES BY DESIGN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2011
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10650 COUNTY ROAD 81 SUITE 222A
MAPLE GROVE MN
55369-4075
US

IV. Provider business mailing address

10650 COUNTY ROAD 81 STE 222A
MAPLE GROVE MN
55369-4081
US

V. Phone/Fax

Practice location:
  • Phone: 763-493-5067
  • Fax:
Mailing address:
  • Phone: 763-493-5067
  • Fax: 763-493-5138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number362066
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number1014217-4-RH
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number1019049-1-RH
License Number StateMN

VIII. Authorized Official

Name: RITA SHARAWN WILLIAMS
Title or Position: ADMINISTRATOR
Credential: AUTHORIZED OFFICIAL
Phone: 763-493-5067