Provider Demographics
NPI:1295578698
Name:CHOICEPATH LLC
Entity type:Organization
Organization Name:CHOICEPATH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGINA
Authorized Official - Middle Name:N
Authorized Official - Last Name:NGANGSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-710-1103
Mailing Address - Street 1:6 HOPE ST
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-5711
Mailing Address - Country:US
Mailing Address - Phone:732-710-1103
Mailing Address - Fax:
Practice Address - Street 1:6 HOPE ST
Practice Address - Street 2:
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-5711
Practice Address - Country:US
Practice Address - Phone:732-710-1103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care