Provider Demographics
NPI:1881922003
Name:1ST AMERICAN CHOICE HOME HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:1ST AMERICAN CHOICE HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON/ MANAGING MEMBER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARISE
Authorized Official - Suffix:
Authorized Official - Credentials:BSN,RN
Authorized Official - Phone:832-831-3274
Mailing Address - Street 1:8700 COMMERCE PARK DR STE 236
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7451
Mailing Address - Country:US
Mailing Address - Phone:832-831-3274
Mailing Address - Fax:
Practice Address - Street 1:2620 TANGLEWILDE ST STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063
Practice Address - Country:US
Practice Address - Phone:832-831-3274
Practice Address - Fax:832-831-3375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-28
Last Update Date:2018-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013280251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health