Healthcare Provider Details

I. General information

NPI: 1275148991
Provider Name (Legal Business Name): HOME HEALTH CHOICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

2018 CENTER ST APT 404
CLEVELAND OH
44113-2352
US

IV. Provider business mailing address

2018 CENTER ST APT 404
CLEVELAND OH
44113-2352
US

V. Phone/Fax

Practice location:
  • Phone: 216-402-4089
  • Fax:
Mailing address:
  • Phone: 216-402-4089
  • Fax:

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 Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHANTEL WILCOX
Title or Position: CEO
Credential: MBA
Phone: 216-402-4089