The Chosen One 23:4 Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

THE CHOSEN ONE 23:4 INC

Practice address

1725 Jordan Dr
Rockledge, FL 32955-3022

Phone

(407) 488-3121

Fax

(321) 208-7190

NPI assigned

Jan 27, 2022

Organization subpart

No

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

Authorized official

Name

Marcilla A DupreeNPI 1518471713

Title

Officer

Phone

(407) 488-3121

Specialties & licenses 2

Addresses

Other names 1

• Marcilla A Dupree Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcilla Ann Dupree

  • Nurse's Aide
  • Rockledge, FL
  • NPI 1518471713
  NPD Authorized official

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1629721998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 JORDAN DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553022",
            "telephone_number": "407-488-3121",
            "fax_number": "321-208-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 JORDAN DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553022",
            "telephone_number": "407-488-3121",
            "fax_number": "321-208-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHOSEN ONE 23:4 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "DUPREE",
        "authorized_official_first_name": "MARCILLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "407-488-3121"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marcilla A Dupree",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christina Kathryn Tecson, LCSW
• Tehc, LLC
• Lucy Terranova, LMHC
• The Brevard Health Alliance Inc
• The Chosen One 23:4 Inc
• The Devereux Foundation
• The Devereux Foundation
• The Gut Rd, LLC
• The Orthopaedic Institute PA
• The Rockledge Urgent Care Center, Inc

• In Home Supportive Care Agency in Rockledge, FL
• Providers in Rockledge, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.