Provider Demographics
NPI:1235990094
Name:CHOSEN ANGLES FAMILY CARE
Entity Type:Organization
Organization Name:CHOSEN ANGLES FAMILY CARE
Other - Org Name:PROMISE COMFORT CARE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FATU
Authorized Official - Middle Name:KOFA
Authorized Official - Last Name:KAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:223-234-7740
Mailing Address - Street 1:829 ADMIRALS QUAY DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2766
Mailing Address - Country:US
Mailing Address - Phone:223-234-7740
Mailing Address - Fax:717-790-2494
Practice Address - Street 1:829 ADMIRALS QUAY DR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-2766
Practice Address - Country:US
Practice Address - Phone:223-234-7740
Practice Address - Fax:717-790-2494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty