Provider Demographics
NPI:1902339039
Name:CHOSEN ONE HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:CHOSEN ONE HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BANIYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-730-1863
Mailing Address - Street 1:290 WEST AVE STE G
Mailing Address - Street 2:
Mailing Address - City:TALLMADGE
Mailing Address - State:OH
Mailing Address - Zip Code:44278-2143
Mailing Address - Country:US
Mailing Address - Phone:330-730-1863
Mailing Address - Fax:330-400-4454
Practice Address - Street 1:290 WEST AVE STE G
Practice Address - Street 2:
Practice Address - City:TALLMADGE
Practice Address - State:OH
Practice Address - Zip Code:44278-2143
Practice Address - Country:US
Practice Address - Phone:330-730-1863
Practice Address - Fax:330-400-4454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-05
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4012742251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health