Healthcare Provider Details

I. General information

NPI: 1003650094
Provider Name (Legal Business Name): CHOICES/CARE COMPANIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2024
Last Update Date: 06/24/2024
Certification Date: 06/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 N. TRIMBLE RD.
MANSFIELD OH
44906
US

IV. Provider business mailing address

831 N. TRIMBLE RD.
MANSFIELD OH
44906
US

V. Phone/Fax

Practice location:
  • Phone: 419-951-3007
  • Fax:
Mailing address:
  • Phone: 419-951-3007
  • Fax:

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: JANET THACKER
Title or Position: OFFICE MANAGER
Credential:
Phone: 419-951-3007