=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538515937
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PATIENTS' CHOICE HOME HEALTHCARE CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/04/2016
-----------------------------------------------------
Last Update Date | 10/03/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1617 SPARROW RD UNIT D
-----------------------------------------------------
City | CHESAPEAKE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23325-4000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-424-4000
-----------------------------------------------------
Fax | 757-351-4670
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1617 SPARROW RD UNIT D
-----------------------------------------------------
City | CHESAPEAKE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23325-4000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-424-4000
-----------------------------------------------------
Fax | 757-351-4670
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VICE PRESIDENT
-----------------------------------------------------
Name | MR. STEVEN MORGAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 757-424-0000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------