Provider Demographics
NPI:1710224407
Name:CHOSEN ONES HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:CHOSEN ONES HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:HARLEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-809-3732
Mailing Address - Street 1:314 JAMES PL
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-7785
Mailing Address - Country:US
Mailing Address - Phone:919-809-3732
Mailing Address - Fax:252-746-2910
Practice Address - Street 1:231 4TH ST
Practice Address - Street 2:
Practice Address - City:AYDEN
Practice Address - State:NC
Practice Address - Zip Code:28513-7094
Practice Address - Country:US
Practice Address - Phone:252-746-0215
Practice Address - Fax:252-746-2910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3492251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601570Medicaid
NC3418186OtherCAP PROVIDER