Organization Active NPI

Chosen Health Care Services Inc

  • In Home Supportive Care Agency
  • Lumberton, NC
National Provider Identifier
1295100964
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4222 Issued in NC
Legal business name
CHOSEN HEALTH CARE SERVICES INC
Doing business as
Chosen Health Care Services Inc
Practice address
705B Wesley Pines Road
Lumberton, NC 28358
Phone
(910) 674-4592
NPI assigned
Dec 7, 2015
Last updated
Feb 14, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CHOSEN HEALTH CARE SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Ms. Grace Nonyelum Muonagolu, RN
Title
Administrator
Phone
(704) 547-1988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4222 NC Primary

Addresses

Primary practice location

705B Wesley Pines Road
Lumberton, NC 28358

Mailing address

8401 University Executive Park Drive
Suite 111
Charlotte, NC 28262-1360
Phone (704) 547-1988

Other names 1

  • Chosen Health Care Services Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chosen Health Care Services Inc2 organizations share this tax ID, including this one
Part of
Chosen Health Care Services Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

705B Wesley Pines Rd
Lumberton, NC 28358
Phone (910) 674-4592

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1295100964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 UNIVERSITY EXECUTIVE PARK DRIVE",
            "address_2": "SUITE 111",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621360",
            "telephone_number": "704-547-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705B WESLEY PINES ROAD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "28358",
            "telephone_number": "910-674-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOSEN HEALTH CARE SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHOSEN HEALTH CARE SERVICES, INC",
        "enumeration_date": "2015-12-07",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "MUONAGOLU",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "NONYELUM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-547-1988",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chosen Health Care Services Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.