Provider Demographics
NPI:1063722908
Name:AA BETTER CHOICE IN HOME AIDE SERVICES
Entity type:Organization
Organization Name:AA BETTER CHOICE IN HOME AIDE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:NICHELLE
Authorized Official - Last Name:MCKENNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-790-3355
Mailing Address - Street 1:5736 NORTH TRYON ST.
Mailing Address - Street 2:STE 204
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-0823
Mailing Address - Country:US
Mailing Address - Phone:704-790-3355
Mailing Address - Fax:704-790-3356
Practice Address - Street 1:5736 NORTH TRYON ST.
Practice Address - Street 2:STE 204
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-0823
Practice Address - Country:US
Practice Address - Phone:704-790-3355
Practice Address - Fax:704-790-3356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6602026Medicaid