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General NPI Number Information
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NPI Number | 1205037900
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Entity Type | Organization
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Legal Business Name | LIFE CHOICES UNLIMITED, INC.
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2338 E FREDDY GONZALEZ DR
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City | EDINBURG
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State | TX
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Zip | 78539-3883
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Country | US
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Telephone | 956-316-4506
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Fax | 956-316-0064
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Provider Business Mailing Address
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Address Line | PO BOX 2344
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City | EDINBURG
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State | TX
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Zip | 78540-2344
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Country | US
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Telephone | 956-316-4506
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Fax | 956-316-0064
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Authorized Official
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Title or Position | CHIEF EXECUTIVE DIRECTOR
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Name | MR. SERGIO CASTILLO
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Credential |
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Telephone | 956-316-4506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | HCS MEDICAID WAIVER
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | HCS MEDICAID WAIVER
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | HCS MEDICAID WAIVER
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | HCS MEDICAID WAIVER
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | TXHML MEDICAID WAIVE
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | TXHML MEDICAID WAIVE
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License Number State | TX
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