Provider Demographics
NPI:1174853360
Name:CHOSEN HOME HEALTH SERVICES INC
Entity type:Organization
Organization Name:CHOSEN HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:KURUP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-900-5185
Mailing Address - Street 1:17290 PRESTON ROAD
Mailing Address - Street 2:STE 210D
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252
Mailing Address - Country:US
Mailing Address - Phone:972-590-0237
Mailing Address - Fax:972-584-6073
Practice Address - Street 1:17290 PRESTON ROAD
Practice Address - Street 2:STE 210D
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252
Practice Address - Country:US
Practice Address - Phone:972-590-0237
Practice Address - Fax:972-584-6073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-11
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health