Provider Demographics
NPI:1033237847
Name:CERTIFIED HEALTHCARE ASSOCIATES INC
Entity Type:Organization
Organization Name:CERTIFIED HEALTHCARE ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:ELIDGE
Authorized Official - Last Name:MESSICK
Authorized Official - Suffix:III
Authorized Official - Credentials:RN
Authorized Official - Phone:214-575-4009
Mailing Address - Street 1:9330 AMBERTON PKWY STE 2372
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3278
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9330 AMBERTON PKWY
Practice Address - Street 2:SUITE 2372
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3278
Practice Address - Country:US
Practice Address - Phone:214-575-4009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010919251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health