Provider Demographics
NPI:1629387527
Name:CHOSEN HOSPICE CARE LLC
Entity Type:Organization
Organization Name:CHOSEN HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASTER SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BERRY-LAKEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:832-866-4059
Mailing Address - Street 1:11402 MORNING BROOK DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2115
Mailing Address - Country:US
Mailing Address - Phone:832-866-4059
Mailing Address - Fax:713-436-6523
Practice Address - Street 1:11402 MORNING BROOK DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2115
Practice Address - Country:US
Practice Address - Phone:832-866-4059
Practice Address - Fax:713-436-6523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based