Provider Demographics
NPI:1487959821
Name:HOMECHOICE NETWORK, INC.
Entity type:Organization
Organization Name:HOMECHOICE NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:IANUCILLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-944-1116
Mailing Address - Street 1:260 MAGNOLIA SQUARE CT
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NC
Mailing Address - Zip Code:28315-2226
Mailing Address - Country:US
Mailing Address - Phone:910-944-1116
Mailing Address - Fax:910-944-1118
Practice Address - Street 1:260 MAGNOLIA SQUARE CT
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NC
Practice Address - Zip Code:28315-2226
Practice Address - Country:US
Practice Address - Phone:910-944-1116
Practice Address - Fax:910-944-1118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-16
Last Update Date:2011-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4040253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care