Healthcare Provider Details
I. General information
NPI: 1578370193
Provider Name (Legal Business Name): GRATUS HEALTHCARE CHOICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/17/2024
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2026 WESTCHESTER AVE
BRONX NY
10462-4558
US
IV. Provider business mailing address
106 STRAWTOWN RD
NEW CITY NY
10956-6835
US
V. Phone/Fax
- Phone: 347-727-4585
- Fax:
- Phone: 845-612-2863
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251X00000X |
| Taxonomy | Supports Brokerage Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MADELAINE
ABREU
Title or Position: CEO
Credential:
Phone: 845-612-2863