Provider Demographics
NPI:1407083801
Name:HEART'S CHOICE HEALTH CARE, INC
Entity Type:Organization
Organization Name:HEART'S CHOICE HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CELESIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:903-439-6030
Mailing Address - Street 1:1335 SHANNON RD E
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482-3093
Mailing Address - Country:US
Mailing Address - Phone:903-439-6030
Mailing Address - Fax:903-439-6050
Practice Address - Street 1:1335 SHANNON RD E
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-3093
Practice Address - Country:US
Practice Address - Phone:903-439-6030
Practice Address - Fax:903-439-6050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011146251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX011146Medicaid