Provider Demographics
NPI:1548695034
Name:CHOICE HOMECARE OF NACOGDOCHES LLC
Entity type:Organization
Organization Name:CHOICE HOMECARE OF NACOGDOCHES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF GROWTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:LANIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-932-1852
Mailing Address - Street 1:6760 OLD JACKSONVILLE HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-0566
Mailing Address - Country:US
Mailing Address - Phone:903-932-1852
Mailing Address - Fax:888-333-8977
Practice Address - Street 1:3724 EXECUTIVE CENTER DR. BLDG. 9
Practice Address - Street 2:#220 B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1638
Practice Address - Country:US
Practice Address - Phone:512-637-1550
Practice Address - Fax:512-637-1551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-04
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health