1013096023 NPI number — MULTI-CHOICE HOME HEALTH SERVICES INCORPORATED

Table of content: (NPI 1013096023)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013096023 NPI number — MULTI-CHOICE HOME HEALTH SERVICES INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MULTI-CHOICE HOME HEALTH SERVICES INCORPORATED
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013096023
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/20/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9304 FOREST LANE
Provider Second Line Business Mailing Address:
STE S125
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75243
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-221-3343
Provider Business Mailing Address Fax Number:
214-221-3386

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9304 FOREST LANE
Provider Second Line Business Practice Location Address:
STE S125
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75243
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-221-3343
Provider Business Practice Location Address Fax Number:
214-221-3386
Provider Enumeration Date:
11/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
EWAH
Authorized Official First Name:
OKWO
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
214-221-3343

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  010804 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 010804 . This is a "STATE LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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