Provider Demographics
NPI:1518454719
Name:CHOSEN HEALTHCARE HOLDINGS LLC
Entity Type:Organization
Organization Name:CHOSEN HEALTHCARE HOLDINGS LLC
Other - Org Name:CHOSEN HOSPICE CARE OF NORTH TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LFA
Authorized Official - Phone:469-625-1030
Mailing Address - Street 1:1575 REDBUD BLVD STE 207
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3385
Mailing Address - Country:US
Mailing Address - Phone:469-625-1030
Mailing Address - Fax:469-562-0218
Practice Address - Street 1:1575 REDBUD BLVD STE 207
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3385
Practice Address - Country:US
Practice Address - Phone:469-625-1030
Practice Address - Fax:469-562-0218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-13
Last Update Date:2022-07-13
Deactivation Date:2022-04-07
Deactivation Code:
Reactivation Date:2022-07-13
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient