=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801921853
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CHOICE HEALTH CARE LTD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/22/2007
-----------------------------------------------------
Last Update Date | 10/10/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4134 LINDEN AVE STE 202
-----------------------------------------------------
City | DAYTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45432-3035
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-254-6220
-----------------------------------------------------
Fax | 937-254-6292
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4134 LINDEN AVE STE 202
-----------------------------------------------------
City | DAYTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45432-3035
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-254-6220
-----------------------------------------------------
Fax | 937-254-6292
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MARGARET J STONE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 937-254-6220
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------