Healthcare Provider Details

I. General information

NPI: 1053769653
Provider Name (Legal Business Name): AMERICAN CHOICE HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2016
Last Update Date: 05/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 WATERS EDGE WAY
MURPHY TX
75094-4383
US

IV. Provider business mailing address

502 WATERS EDGE WAY
MURPHY TX
75094-4383
US

V. Phone/Fax

Practice location:
  • Phone: 214-918-9972
  • Fax: 972-941-6965
Mailing address:
  • Phone: 214-918-9972
  • Fax: 972-941-6965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateTX

VIII. Authorized Official

Name: MOCHUMBE MEROKA
Title or Position: PRESIDENT
Credential:
Phone: 214-918-9972