Provider Demographics
NPI:1760217764
Name:MY CHOICE HOME CARE LLC
Entity type:Organization
Organization Name:MY CHOICE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE OFFICER - SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-200-4312
Mailing Address - Street 1:348 S 5TH ST STE 209
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS
Mailing Address - State:NC
Mailing Address - Zip Code:28741-7002
Mailing Address - Country:US
Mailing Address - Phone:888-505-2965
Mailing Address - Fax:828-333-5702
Practice Address - Street 1:348 S 5TH ST STE 209
Practice Address - Street 2:
Practice Address - City:HIGHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28741-7002
Practice Address - Country:US
Practice Address - Phone:888-505-2965
Practice Address - Fax:828-333-5702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care