=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366811762
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BEST CHOICE HOME HEALTH CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/16/2015
-----------------------------------------------------
Last Update Date | 09/16/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1944 STATE ST
-----------------------------------------------------
City | HAMDEN
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06517-3820
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-624-0492
-----------------------------------------------------
Fax | 203-306-3277
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1944 STATE ST
-----------------------------------------------------
City | HAMDEN
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06517-3820
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-624-0492
-----------------------------------------------------
Fax | 203-306-3277
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | MRS. JOYCE A BELLAMY
-----------------------------------------------------
Credential | PHD
-----------------------------------------------------
Telephone | 203-901-3491
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HCA0001006
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------