Provider Demographics
NPI:1235928532
Name:CARECHOICE MI LLC
Entity type:Organization
Organization Name:CARECHOICE MI LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARSEN
Authorized Official - Middle Name:
Authorized Official - Last Name:USTAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-277-0000
Mailing Address - Street 1:785 ADMIRALTY PARADE E
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-7804
Mailing Address - Country:US
Mailing Address - Phone:215-277-0000
Mailing Address - Fax:
Practice Address - Street 1:2751 E JEFFERSON AVE STE 400
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48207-4105
Practice Address - Country:US
Practice Address - Phone:313-656-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-02
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health