Provider Demographics
NPI:1194428615
Name:GREATER CHOICE CARE LLC
Entity type:Organization
Organization Name:GREATER CHOICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSAMEDE
Authorized Official - Middle Name:
Authorized Official - Last Name:EGBENUSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-573-6221
Mailing Address - Street 1:3380 PEACHTREE RD NE UNIT 1212
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1650
Mailing Address - Country:US
Mailing Address - Phone:470-573-6221
Mailing Address - Fax:
Practice Address - Street 1:3380 PEACHTREE RD NE UNIT 1212
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1650
Practice Address - Country:US
Practice Address - Phone:470-573-6221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care