MEDICARE: CONCORD CHOICE OF LIVING

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1811846918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONCORD CHOICE OF LIVING

Provider Business Mailing Address
First Line	:	1301 S BOWEN RD STE 140
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-2301
Country	:	US
Telephone Number	:	214-414-0384
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 S BOWEN RD STE 140
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-2301
Country	:	US
Telephone Number	:	214-414-0384
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHITAKA MOORE
Credential	:
Telephone Number	:	214-414-0384

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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Directions to “CONCORD CHOICE OF LIVING ” Practice Location

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