Provider Demographics
NPI:1326216094
Name:HORTENSIA HOWARD
Entity Type:Organization
Organization Name:HORTENSIA HOWARD
Other - Org Name:YOUR CHOICE IN HOME SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HORTENSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-731-7030
Mailing Address - Street 1:5494 BROWN RD STE 112
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-1100
Mailing Address - Country:US
Mailing Address - Phone:314-731-7030
Mailing Address - Fax:
Practice Address - Street 1:5494 BROWN RD
Practice Address - Street 2:STE. 112
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-1100
Practice Address - Country:US
Practice Address - Phone:314-731-7030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO266361500Medicaid