MEDICARE: CERTIFIED HEALTHCARE ASSOCIATES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	010919	TX

General Provider Information

NPI Number	:	1033237847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CERTIFIED HEALTHCARE ASSOCIATES INC

Provider Business Mailing Address
First Line	:	9330 AMBERTON PKWY STE 2372
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-3278
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9330 AMBERTON PKWY
Second Line	:	SUITE 2372
City	:	DALLAS
State	:	TX
Zip	:	75243-3278
Country	:	US
Telephone Number	:	214-575-4009
Fax Number	:

Authorized Official
Title or Position	:	RN DIRECTOR
Name	:	MR. TROY ELIDGE MESSICK III
Credential	:	RN
Telephone Number	:	214-575-4009

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	08/22/2020

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