Healthcare Provider Details

I. General information

NPI: 1114368834
Provider Name (Legal Business Name): YOUR CHOICE AT HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2013
Last Update Date: 09/15/2020
Certification Date: 09/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 HENRY ST
BROOKLYN NY
11201-6048
US

IV. Provider business mailing address

380 HENRY ST
BROOKLYN NY
11201-6048
US

V. Phone/Fax

Practice location:
  • Phone: 718-855-6789
  • Fax: 718-522-5164
Mailing address:
  • Phone: 718-855-6789
  • Fax: 718-522-5164

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: MR. NEIL SCHLISSEL
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 718-237-1717