MEDICARE: A POSITIVE CHOICE RESOURCE & REFERRAL SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3747A0650X	Attendant Care Provider
2	3747P1801X	Personal Care Attendant
3	376J00000X	Homemaker
4	385H00000X	Respite Care
5	171M00000X	Case Manager/Care Coordinator
6	251X00000X	Supports Brokerage Agency
7	251C00000X	Developmentally Disabled Services Day Training Agency
8	332U00000X	Home Delivered Meals
9	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1588311138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A POSITIVE CHOICE RESOURCE & REFERRAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	7614 LEMON AVE STE C
Second Line	:
City	:	LEMON GROVE
State	:	CA
Zip	:	91945-1619
Country	:	US
Telephone Number	:	619-678-1210
Fax Number	:	619-872-2485

Provider Business Practice Location Address
First Line	:	7614 LEMON AVE STE C
Second Line	:
City	:	LEMON GROVE
State	:	CA
Zip	:	91945-1619
Country	:	US
Telephone Number	:	619-678-1210
Fax Number	:	619-872-2485

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MS. JEANNINE NASH
Credential	:
Telephone Number	:	619-721-5498

Provider Enumeration Date	:	03/03/2022
Last Update Date	:	03/03/2022

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