Provider Demographics
NPI:1003227992
Name:CP HOME CARE, LLC
Entity Type:Organization
Organization Name:CP HOME CARE, LLC
Other - Org Name:CHOICE HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF GROWTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:LANIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-932-1852
Mailing Address - Street 1:3131 MCKINNEY AVE
Mailing Address - Street 2:STE. 475
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-7426
Mailing Address - Country:US
Mailing Address - Phone:214-347-7140
Mailing Address - Fax:214-347-7142
Practice Address - Street 1:8900 EMMETT F LOWRY EXPY STE 103C
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-9117
Practice Address - Country:US
Practice Address - Phone:844-270-0096
Practice Address - Fax:409-994-0400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-13
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX74-7242Medicare PIN