Agency With Choice Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AGENCY WITH CHOICE SERVICES, LLC

Practice address

209 John St
Sturgis, MI 49091-1459

Phone

(877) 659-4500

Fax

(888) 972-3891

NPI assigned

Mar 21, 2024

Last updated

Mar 21, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

GUARDIANTRAC, LLC D/B/A GT INDEPENDENCEAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Holly Carmichael

Title

Chief Executive Officer

Phone

(877) 659-4500

Specialties & licenses 2

Addresses

Part of

Guardiantrac LLC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1780444182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BROADUS ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911384",
            "telephone_number": "877-659-4500",
            "fax_number": "888-972-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 JOHN ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911459",
            "telephone_number": "877-659-4500",
            "fax_number": "888-972-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGENCY WITH CHOICE SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUARDIANTRAC, LLC D/B/A GT INDEPENDENCE",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "CARMICHAEL",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "877-659-4500"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.