Provider Demographics
NPI:1972883239
Name:CHOICE MATTERS HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:CHOICE MATTERS HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-680-1256
Mailing Address - Street 1:4741 ATLANTIC BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-1114
Mailing Address - Country:US
Mailing Address - Phone:904-680-1256
Mailing Address - Fax:904-323-3616
Practice Address - Street 1:4741 ATLANTIC BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-1114
Practice Address - Country:US
Practice Address - Phone:904-680-1256
Practice Address - Fax:904-323-3616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-18
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993991251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002120800Medicaid