Provider Demographics
NPI:1407214174
Name:MEDICAL CHOICE HOME HEALTH, LLC
Entity Type:Organization
Organization Name:MEDICAL CHOICE HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YESENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMARILLO
Authorized Official - Suffix:JR
Authorized Official - Credentials:LVN
Authorized Official - Phone:956-372-1742
Mailing Address - Street 1:2604 CARLOS AVE
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-8609
Mailing Address - Country:US
Mailing Address - Phone:956-433-2212
Mailing Address - Fax:
Practice Address - Street 1:2500 E PRICE RD STE 550
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-2292
Practice Address - Country:US
Practice Address - Phone:956-433-2212
Practice Address - Fax:956-621-3322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX017186251E00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome Health