Organization Active NPI

Physician'S Choice Healthcare Services, Inc

  • Home Health Agency
  • Wellington, FL
National Provider Identifier
1922544303
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
234679 Issued in FL
Legal business name
PHYSICIAN'S CHOICE HEALTHCARE SERVICES, INC
Practice address
10108 Freesian Way
Wellington, FL 33449-8030
Phone
(561) 714-7858
Fax
(561) 549-1207
NPI assigned
Jan 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Dr. Jerry Charles, M.D.NPI 1699211086
Title
Ceo
Phone
(561) 714-7858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 234679 FL Primary

Addresses

Primary practice location

10108 Freesian Way
Wellington, FL 33449-8030

Mailing address

125 S State Road 7
104-114
Wellington, FL 33414-4385
Phone (561) 714-7858

Other names 1

  • Physician's Choice Home Care Services Doing business as

National Provider Directory

National Provider Directory

Locations

125 S State Road 7
#104114
Wellington, FL 33414

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1922544303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S STATE ROAD 7",
            "address_2": "104-114",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144385",
            "telephone_number": "561-714-7858",
            "fax_number": "561-549-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10108 FREESIAN WAY",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498030",
            "telephone_number": "561-714-7858",
            "fax_number": "561-549-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN'S CHOICE HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-714-7858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "234679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physician's Choice Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.