Provider Demographics
NPI:1407090533
Name:YOUR CHOICE HOME HEALTH, LLC
Entity Type:Organization
Organization Name:YOUR CHOICE HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:LETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-542-9544
Mailing Address - Street 1:203 N WADDILL ST
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3747
Mailing Address - Country:US
Mailing Address - Phone:972-542-9544
Mailing Address - Fax:
Practice Address - Street 1:202 W LOUISIANA ST
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-4416
Practice Address - Country:US
Practice Address - Phone:972-542-9544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8681251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163833001Medicaid
TX163833001Medicaid