MEDICARE: CHOICE HEALTH SERVICES, 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	004358	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508863564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOICE HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	3201 UNIVERSITY DR E
Second Line	:	SUITE 475
City	:	BRYAN
State	:	TX
Zip	:	77802-3475
Country	:	US
Telephone Number	:	979-774-5451
Fax Number	:	979-774-1961

Provider Business Practice Location Address
First Line	:	3201 UNIVERSITY DR E
Second Line	:	SUITE 475
City	:	BRYAN
State	:	TX
Zip	:	77802-3475
Country	:	US
Telephone Number	:	979-774-5451
Fax Number	:	979-774-1961

Authorized Official
Title or Position	:	PRESIDENT/ADMINISTRATOR
Name	:	MRS. TERRI J KAHLA
Credential	:	RN
Telephone Number	:	979-774-5451

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	03/30/2009

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Directions to “CHOICE HEALTH SERVICES, INC. ” Practice Location

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