Provider Demographics
NPI:1013150986
Name:HOME HEALTH CHOICE, INC
Entity Type:Organization
Organization Name:HOME HEALTH CHOICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CLINICAL COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:MACKIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:469-235-1487
Mailing Address - Street 1:4402 HOLLAND AVE
Mailing Address - Street 2:UNIT 101
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-2133
Mailing Address - Country:US
Mailing Address - Phone:469-235-1487
Mailing Address - Fax:
Practice Address - Street 1:4402 HOLLAND AVE
Practice Address - Street 2:UNIT 101
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-2133
Practice Address - Country:US
Practice Address - Phone:469-235-1487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-08
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX762129163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty