Provider Demographics
NPI:1881637866
Name:M.D.'S CHOICE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:M.D.'S CHOICE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:C
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-386-2273
Mailing Address - Street 1:1460 NORTH 5TH STREET
Mailing Address - Street 2:
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-3710
Mailing Address - Country:US
Mailing Address - Phone:409-386-2273
Mailing Address - Fax:409-386-2459
Practice Address - Street 1:1460 N 5TH ST
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-3710
Practice Address - Country:US
Practice Address - Phone:409-386-2273
Practice Address - Fax:409-386-2459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009110251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX199551601Medicaid
TX673196Medicare ID - Type UnspecifiedVENDOR NUMBER