Healthcare Provider Details

I. General information

NPI: 1306076401
Provider Name (Legal Business Name): KIDS CHOICE HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2009
Last Update Date: 09/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 WEST VAN ALSTYNE PARKWAY
VAN ALSTYNE TX
75495-0847
US

IV. Provider business mailing address

PO BOX 847
VAN ALSTYNE TX
75495-0847
US

V. Phone/Fax

Practice location:
  • Phone: 903-482-2273
  • Fax: 903-482-2223
Mailing address:
  • Phone: 903-870-8132
  • Fax:

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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. KRISTEN DANIELLE BOYD
Title or Position: PRESIDENT
Credential: RN
Phone: 903-870-8132