Provider Demographics
NPI:1114511904
Name:CHOOSE HOME CARE, INC.
Entity type:Organization
Organization Name:CHOOSE HOME CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JACKELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PLACENCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-974-1190
Mailing Address - Street 1:251 E 5TH STREET
Mailing Address - Street 2:UNIT 1 SUITE 128
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-2496
Mailing Address - Country:US
Mailing Address - Phone:646-974-1190
Mailing Address - Fax:646-974-1545
Practice Address - Street 1:251 E 5TH STREET
Practice Address - Street 2:UNIT 1 SUITE 128
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-2496
Practice Address - Country:US
Practice Address - Phone:646-974-1190
Practice Address - Fax:646-974-1545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-23
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health