Provider Demographics
NPI:1861514705
Name:CHOICE HEALTH SYSTEMS LLC
Entity type:Organization
Organization Name:CHOICE HEALTH SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OPOKU-GYAMFI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-726-6151
Mailing Address - Street 1:1933 E DUBLIN GRANVILLE RD
Mailing Address - Street 2:STE # 318
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3508
Mailing Address - Country:US
Mailing Address - Phone:614-726-6151
Mailing Address - Fax:614-573-7655
Practice Address - Street 1:2151 E DUBLIN GRANVILLE RD
Practice Address - Street 2:STE #204
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3519
Practice Address - Country:US
Practice Address - Phone:614-726-6151
Practice Address - Fax:614-573-7655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1683965251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========OtherCHOICE HEALTH SYSTEMS,LLC