MEDICARE: HEART'S CHOICE HEALTH CARE, 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	015826	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	:	1942322797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART'S CHOICE HEALTH CARE, INC

Provider Business Mailing Address
First Line	:	303 JARBO ST
Second Line	:
City	:	SULPHUR SPRINGS
State	:	TX
Zip	:	75482-4036
Country	:	US
Telephone Number	:	903-439-6030
Fax Number	:	903-439-6050

Provider Business Practice Location Address
First Line	:	303 JARBO ST
Second Line	:
City	:	SULPHUR SPRINGS
State	:	TX
Zip	:	75482-4036
Country	:	US
Telephone Number	:	903-439-6030
Fax Number	:	903-439-6050

Authorized Official
Title or Position	:	ADMINISTRATOR/OWNER
Name	:	MRS. JAMIE MOUSER ROPER
Credential	:	RN
Telephone Number	:	903-439-6030

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	10/21/2014

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