Provider Demographics
NPI:1689869158
Name:CONSOLIDATED FIRST CHOICE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:CONSOLIDATED FIRST CHOICE HOME HEALTH, INC.
Other - Org Name:CONSOLIDATED FIRST CHOICE HOME HEALTH, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LUTHER
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:JONES
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:409-489-9573
Mailing Address - Street 1:440 STATE ST
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:TX
Mailing Address - Zip Code:75951-5135
Mailing Address - Country:US
Mailing Address - Phone:409-489-9573
Mailing Address - Fax:409-489-9128
Practice Address - Street 1:440 STATE ST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:TX
Practice Address - Zip Code:75951-5135
Practice Address - Country:US
Practice Address - Phone:409-489-9573
Practice Address - Fax:409-489-9128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011424251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health