Active NPI
Consolidated First Choice Home Health,Inc
- Home Health Agency
- Lufkin, TX
National Provider Identifier
1881807485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 012630
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Apr 20, 2007 in TX
- Enrollment address
- 412 S Kaufman St
Newton, TX 75966-3603
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Consolidated First Choice Home Health Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 28, 2002
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1072899 | Consolidated First Choice Home Health | Certificate of waiver | Aug 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Gloria D Jones | 5% Or Greater Direct Ownership Interest | Feb 27, 2023 | 100% |
| Corporate Director | Mar 9, 2009 | ||
| W-2 Managing Employee | Feb 25, 2008 | ||
| Maira Reyes | W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.