Chosen Life Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CHOSEN LIFE HEALTHCARE, LLC

Practice address

588 County Road 415
Town Creek, AL 35672-3332

Phone

(256) 633-1081

NPI assigned

Mar 7, 2023

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ada Wilson, FNP-BCNPI 1437543139

Title

Owner

Phone

(256) 443-9037

Specialties & licenses 1

Addresses

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.

• Ada Kenetra Wilson, FNP

  • Family Nurse Practitioner
  • Indian Land, SC
  • NPI 1437543139
  NPD Authorized official

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1255031332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "TOWN CREEK",
            "state": "AL",
            "postal_code": "356720014",
            "telephone_number": "256-633-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 COUNTY ROAD 415",
            "city": "TOWN CREEK",
            "state": "AL",
            "postal_code": "356723332",
            "telephone_number": "256-633-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOSEN LIFE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-443-9037",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amazing Grace Counseling & Consulting Services LLC
• Sabrina Kenithe Arnold, RPH
• Misty Dawn Clark, R.PH.
• Chartease Crittendon
• Kathryn O Czervionke, LPC
• Family Health Care Clinic, Inc.
• Ashley Martin

• Home Health Agency in Town Creek, AL
• Providers in Town Creek, AL by specialty
• Home Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.