Provider Demographics
NPI:1992676787
Name:CHOSEN HOSPICE LLC
Entity type:Organization
Organization Name:CHOSEN HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANISSA
Authorized Official - Middle Name:D
Authorized Official - Last Name:HEMINGWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-900-4876
Mailing Address - Street 1:629 AIRPORT ROAD SUITE B
Mailing Address - Street 2:ROOM C
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046
Mailing Address - Country:US
Mailing Address - Phone:404-905-7387
Mailing Address - Fax:404-905-9219
Practice Address - Street 1:629 AIRPORT ROAD SUITE B
Practice Address - Street 2:ROOM C
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046
Practice Address - Country:US
Practice Address - Phone:404-905-7387
Practice Address - Fax:404-905-9219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based