MEDICARE: CLEARCHOICE HEALTHCARE 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	801728871	OTHER	TX	CERTIFICATE OF FORMATION

General Provider Information

NPI Number	:	1699018432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEARCHOICE HEALTHCARE INC

Provider Business Mailing Address
First Line	:	2021 ALDINE MAIL ROUTE
Second Line	:	SUITE
City	:	HOUSTON
State	:	TX
Zip	:	77039-5524
Country	:	US
Telephone Number	:	713-557-5546
Fax Number	:	281-484-3824

Provider Business Practice Location Address
First Line	:	2021 ALDINE MAIL ROUTE
Second Line	:	SUITE
City	:	HOUSTON
State	:	TX
Zip	:	77039-5524
Country	:	US
Telephone Number	:	713-557-5546
Fax Number	:	281-484-3824

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JOHN OJEAGA
Credential	:
Telephone Number	:	713-557-5546

Provider Enumeration Date	:	03/29/2013
Last Update Date	:	03/29/2013

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Directions to “CLEARCHOICE HEALTHCARE INC ” Practice Location

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