At Home by Choice Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AT HOME BY CHOICE HOME CARE LLC

Doing business as

At Home By Choice Home Care LLC

Practice address

10971 Four Seasons PL Ste 128
Crown Point, IN 46307-8009

Phone

(219) 386-5781

NPI assigned

Jan 4, 2024

Last updated

May 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Van Waardenburg

Title

Owner

Phone

(219) 765-4665

Specialties & licenses 1

Addresses

Other names 1

• At Home By Choice Home Care LLC Doing business as

Locations

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1992575674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10971 FOUR SEASONS PL STE 128",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078009",
            "telephone_number": "219-386-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10971 FOUR SEASONS PL STE 128",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078009",
            "telephone_number": "219-386-5781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 Indiana Ave Ste 241",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463835573",
            "country_code": "US",
            "telephone_number": "219-386-5781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AT HOME BY CHOICE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "VAN WAARDENBURG",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-765-4665",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Home By Choice Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "At Home By Choice Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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