Provider Demographics
NPI:1982979316
Name:MEDICS CHOICE HOME HEALTH INC
Entity type:Organization
Organization Name:MEDICS CHOICE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:FELINA
Authorized Official - Middle Name:G
Authorized Official - Last Name:ROQUE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:408-262-8801
Mailing Address - Street 1:1613 S MAIN STREET
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-6295
Mailing Address - Country:US
Mailing Address - Phone:408-262-8801
Mailing Address - Fax:408-262-8806
Practice Address - Street 1:1613 S MAIN STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-6295
Practice Address - Country:US
Practice Address - Phone:408-262-8801
Practice Address - Fax:408-262-8806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health