Provider Demographics
NPI:1699018432
Name:CLEARCHOICE HEALTHCARE INC
Entity Type:Organization
Organization Name:CLEARCHOICE HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:OJEAGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-557-5546
Mailing Address - Street 1:2021 ALDINE MAIL ROUTE
Mailing Address - Street 2:SUITE
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77039-5524
Mailing Address - Country:US
Mailing Address - Phone:713-557-5546
Mailing Address - Fax:281-484-3824
Practice Address - Street 1:2021 ALDINE MAIL ROUTE
Practice Address - Street 2:SUITE
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77039-5524
Practice Address - Country:US
Practice Address - Phone:713-557-5546
Practice Address - Fax:281-484-3824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-29
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX801728871OtherCERTIFICATE OF FORMATION