Provider Demographics
NPI:1750764205
Name:PATIENTS PREMIER CHOICE LLC
Entity type:Organization
Organization Name:PATIENTS PREMIER CHOICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:885-905-0222
Mailing Address - Street 1:PO BOX 140917
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78714-0917
Mailing Address - Country:US
Mailing Address - Phone:855-905-0222
Mailing Address - Fax:512-904-0222
Practice Address - Street 1:8001 CENTRE PARK DRIVE
Practice Address - Street 2:SUITE 160
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-6071
Practice Address - Country:US
Practice Address - Phone:855-905-0222
Practice Address - Fax:512-904-0222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-01
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3562761Medicaid