1982033916 NPI number — YOUR CHOISE SERVICES, INC

Table of content: (NPI 1982033916)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982033916 NPI number — YOUR CHOISE SERVICES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
YOUR CHOISE SERVICES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982033916
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/12/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3824 BARRETT DR
Provider Second Line Business Mailing Address:
STE 105
Provider Business Mailing Address City Name:
RALEIGH
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27609-7220
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-787-7423
Provider Business Mailing Address Fax Number:
919-786-4948

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1035 BRISTOE DR
Provider Second Line Business Practice Location Address:
APT 102
Provider Business Practice Location Address City Name:
KNIGHTDALE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27545-6459
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-787-7423
Provider Business Practice Location Address Fax Number:
919-786-4948
Provider Enumeration Date:
11/12/2013

Additional Information

Authorized Official

Authorized Official Last Name:
GIBSON
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
W
Authorized Official Title or Position:
VP/TREASURER
Authorized Official Telephone Number:
919-889-0012

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X , with the licence number:  MHL092673 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1659497154 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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