Physician Choice Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHYSICIAN CHOICE HOME HEALTH CARE, LLC

Practice address

2841 Riviera Drive Suite 110
Fairlawn, OH 44333-3413

Phone

(330) 665-1500

Fax

(234) 334-1015

NPI assigned

Jan 18, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Paul Edward Bonacuse

Title

Owner

Phone

(330) 665-1500

Specialties & licenses 1

Addresses

Listed as

Physician Choice Home Health Care LLCCCN 369094

Ownership

Proprietary

Certified

Jun 3, 2014

Medicare certification status

Terminated Involuntary: failure to meet agreement, Apr 5, 2026From the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1790023109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 RIVIERA DRIVE SUITE 110",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333413",
            "telephone_number": "330-665-1500",
            "fax_number": "234-334-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 RIVIERA DRIVE SUITE 110",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333413",
            "telephone_number": "330-665-1500",
            "fax_number": "234-334-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN CHOICE HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "BONACUSE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-665-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Angela Petit, PHYSICAL THERAPIST
• Rachel Ann Petrella, PT, DPT
• Morgan Petroff, OTR
• Cleo Phillips
• Melodie Phillips, MD
• Kathleen Pichola, PH.D.
• Carolyn Irene Pickler, MA, LPCC
• Pinnacle Ultrasound Corp., LLC
• Lawrence Pinto
• Luis Fernando Soares Pires, DMD, MSD, MSD

• Home Health Agency in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.