=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093710287
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CHOICE HOME HEALTHCARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/15/2005
-----------------------------------------------------
Last Update Date | 08/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4045 NW 64TH ST SUITE 504
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73116-1684
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-767-9555
-----------------------------------------------------
Fax | 405-767-9755
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2301 HIGHWAY 1187 SUITE 203
-----------------------------------------------------
City | MANSFIELD
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76063-6124
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-469-6739
-----------------------------------------------------
Fax | 817-801-3486
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ANGIE EDDINS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 817-469-6739
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 7298
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------