Provider Demographics
NPI:1417060625
Name:PERFECT CHOICE HOMECARE, INC.
Entity Type:Organization
Organization Name:PERFECT CHOICE HOMECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:J
Authorized Official - Last Name:FOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-723-3991
Mailing Address - Street 1:1220 N LINK ST
Mailing Address - Street 2:
Mailing Address - City:PALESTINE
Mailing Address - State:TX
Mailing Address - Zip Code:75803-8302
Mailing Address - Country:US
Mailing Address - Phone:903-723-3991
Mailing Address - Fax:903-723-1440
Practice Address - Street 1:1220 N LINK ST
Practice Address - Street 2:
Practice Address - City:PALESTINE
Practice Address - State:TX
Practice Address - Zip Code:75803-8302
Practice Address - Country:US
Practice Address - Phone:903-723-3991
Practice Address - Fax:903-723-1440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX004184251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX678197Medicare Oscar/Certification