Provider Demographics
NPI:1124790654
Name:EXCELLENT CHOICE HOME CARE INC.
Entity type:Organization
Organization Name:EXCELLENT CHOICE HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TATYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PASTINA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:347-301-9884
Mailing Address - Street 1:150 OCEANA DR W APT 6I
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6657
Mailing Address - Country:US
Mailing Address - Phone:347-301-9884
Mailing Address - Fax:
Practice Address - Street 1:150 OCEANA DR W APT 6I
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6657
Practice Address - Country:US
Practice Address - Phone:347-301-9884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty