Provider Demographics
NPI:1942661301
Name:MEDICAL CHOICE HOME HEALTH LLC
Entity Type:Organization
Organization Name:MEDICAL CHOICE HOME HEALTH LLC
Other - Org Name:MEDICAL CHOICE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:YESENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMARILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-299-3474
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:956-299-3474
Mailing Address - Fax:
Practice Address - Street 1:2604 CARLOS AVE
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-8609
Practice Address - Country:US
Practice Address - Phone:956-299-3474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care