Provider Demographics
NPI:1306076401
Name:KIDS CHOICE HOME HEALTH INC
Entity type:Organization
Organization Name:KIDS CHOICE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:903-870-8132
Mailing Address - Street 1:PO BOX 847
Mailing Address - Street 2:
Mailing Address - City:VAN ALSTYNE
Mailing Address - State:TX
Mailing Address - Zip Code:75495-0847
Mailing Address - Country:US
Mailing Address - Phone:903-870-8132
Mailing Address - Fax:
Practice Address - Street 1:916 WEST VAN ALSTYNE PARKWAY
Practice Address - Street 2:
Practice Address - City:VAN ALSTYNE
Practice Address - State:TX
Practice Address - Zip Code:75495-0847
Practice Address - Country:US
Practice Address - Phone:903-482-2273
Practice Address - Fax:903-482-2223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care