MEDICARE: J&J OPTIMAL CHOICE, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1710406202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J&J OPTIMAL CHOICE, LLC

Provider Business Mailing Address
First Line	:	4511 CHAMBLEE DUNWOODY RD STE A4
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30338-6243
Country	:	US
Telephone Number	:	770-392-8952
Fax Number	:

Provider Business Practice Location Address
First Line	:	4511 CHAMBLEE DUNWOODY RD STE A4
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30338-6243
Country	:	US
Telephone Number	:	770-392-8952
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ PRESIDENT/CEO
Name	:	MR. JEFF SHIOVITZ
Credential	:
Telephone Number	:	770-392-8952

Provider Enumeration Date	:	09/15/2017
Last Update Date	:	07/21/2022

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