Organization Active NPI

Consolidated First Choice Home Health,Inc

  • Home Health Agency
  • Lufkin, TX
National Provider Identifier
1881807485
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012630 Issued in TX
Legal business name
CONSOLIDATED FIRST CHOICE HOME HEALTH,INC
Practice address
507 Gaslight Blvd Ste B
Lufkin, TX 75904-3127
Phone
(409) 489-9573
Fax
(409) 489-9128
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Gloria D Jones, R.N.
Title
R.N.
Phone
(409) 489-9573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 012630 TX Primary

Addresses

Primary practice location

507 Gaslight Blvd Ste B
Lufkin, TX 75904-3127

Mailing address

P.O. Box 308
Bon Wier, TX 75928
Phone (409) 489-9573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080407000158 TX Part A Provider - Home Health Agency 5799862348 Practice locations: Newton, TX
O20160810002601 TX Part B Supplier - Independent Clinical Laboratory 5799862348 Practice locations: Newton, TX

Home health agency certification: CCN 679177

Legal name
CONSOLIDATED FIRST CHOICE HOME HEALTH,INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 28, 2002
Last certification
Feb 10, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 20, 2007 in TX
Enrollment address
412 S Kaufman St
Newton, TX 75966-3603
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Consolidated First Choice Home Health IncCCN 679177
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Oct 28, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1072899Consolidated First Choice Home Health412 S Kaufman Street, Newton, TX 75966Certificate of waiverAug 26, 2027

National Provider Directory

National Provider Directory

Locations

507 Gaslight Blvd
Ste B
Lufkin, TX 75904
Phone (409) 489-9573

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gloria D Jones Individual 5% Or Greater Direct Ownership InterestR.N., Case Manager Feb 27, 2023 100%
Corporate Director Mar 9, 2009
W-2 Managing Employee Feb 25, 2008
Maira Reyes Individual W-2 Managing EmployeeAdministrator Aug 16, 2012

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1881807485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 308",
            "city": "BON WIER",
            "state": "TX",
            "postal_code": "75928",
            "telephone_number": "409-489-9573",
            "fax_number": "409-489-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 GASLIGHT BLVD STE B",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043127",
            "telephone_number": "409-489-9573",
            "fax_number": "409-489-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSOLIDATED FIRST CHOICE HOME HEALTH,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "R.N.",
        "authorized_official_telephone_number": "409-489-9573",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.