Organization Active NPI

Chosen Community Supports LLC

  • In Home Supportive Care Agency
  • Jonesboro, AR
National Provider Identifier
1093613523
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CHOSEN COMMUNITY SUPPORTS LLC
Practice address
516 S Gee St Ste C
Jonesboro, AR 72401-3303
Phone
(870) 253-7795
Fax
(870) 586-6025
NPI assigned
Oct 26, 2026
Last updated
Oct 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angela HardawayNPI 1699527465
Title
Adminstrator
Phone
(870) 253-7795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

516 S Gee St Ste C
Jonesboro, AR 72401-3303

Mailing address

516 S Gee St Ste C
Jonesboro, AR 72401-3303
Phone (870) 253-7795

National Provider Directory

National Provider Directory

Locations

516 S Gee St
Ste C
Jonesboro, AR 72401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792972800000",
    "number": "1093613523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 S GEE ST STE C",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013303",
            "telephone_number": "870-253-7795",
            "fax_number": "870-586-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S GEE ST STE C",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013303",
            "telephone_number": "870-253-7795",
            "fax_number": "870-586-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOSEN COMMUNITY SUPPORTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-26",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A",
        "authorized_official_last_name": "HARDAWAY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "870-253-7795"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.