CHOSEN COMMUNITY LIVING, LLC (NPI# 1295277721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295277721 |
Entity Type | Organization |
Organization Name | CHOSEN COMMUNITY LIVING, LLC |
Practice Address |
620 E 6th Ave Belton TX 76513-2707 |
Mailing Address |
Po Box 2376 Georgetown TX 78627-2376 |
Practice Telephone | 2544157001 |
Practice Fax Number | 8885858513 |
Mailing Telephone | 4697137703 |
Mailing Fax Number | 8885858513 |
Enumeration Date | 2016-11-15 |
Last Update Date | 2020-10-05 |
Authorized Official Name | MRS. TIFFANY LACOLE ROSS (OWNER) |
Authorized Official Telephone | 2544157001 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
TX | Nursing & Custodial Care Facilities |
Street Address |
620 E 6TH AVE |
City | BELTON |
State | TX |
Zip Code | 76513-2707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407460405 | Monique Roberts | Physical Therapist | 1008 Arbor Park Dr Suite B, Belton, TX 76513 | 2020-09-07 |
1821621418 | Shannon Alexis Marek | Specialist/Technologist | 624 Tiger Dr, Belton, TX 76513 | 2020-02-21 |
1174189732 | Bobby Bruce | Nurse Practitioner | 123 E 9th Ave, Belton, TX 76513 | 2019-05-19 |
1811475643 | Elizabeth Irma Scott | Dentist | 412 Lake Rd, Belton, TX 76513 | 2018-08-03 |
1235677519 | Bell County Adult & Child Therapies, Pllc | Clinic/Center | 4408 Windbell Drive Belton, Belton, TX 76513 | 2017-02-07 |
1679953509 | Jayne Jennings Dunlap | Nurse Practitioner | 1001 Arbor Park Drive, Belton, TX 76513 | 2015-06-05 |
1013396464 | Cynthia Hodges | Counselor | 19 Cottonwood Loop, Belton, TX 76513 | 2015-05-19 |
1740682467 | Belton Pediatric Dental Pllc | Dentist | 412 Lake Belton Rd, Belton, TX 76513 | 2014-09-25 |
1447668637 | Joella Racheal Gibbs-stiles | Nurse Practitioner | 2210 Holland Rd, Belton, TX 76513 | 2014-07-31 |
1851622641 | Central Texas Oxygen 24/7 | Durable Medical Equipment & Medical Supplies | 1686 Morgans Point Rd., Morgans Point Resort, TX 76513 | 2010-01-19 |
Find all providers in zip 76513 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
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---|---|---|---|---|
1578946851 | Pinnacle Care LLC | Custodial Care Facility | 5700 E 191st St, Belton, MO 64012-8735 | 2015-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
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1215538483 | Alejandra Melendez | Custodial Care Facility | 160 Santa Paula Dr, El Paso, TX 79927-1466 | 2020-11-04 |
1962001750 | Geov Divine Healthcare Services Inc. | Custodial Care Facility | 230 Darby Trails Dr, Sugar Land, TX 77479-5243 | 2020-10-22 |
1306444799 | St Leo Healthcare Services Inc | Custodial Care Facility | 4338 Berry Bend Ln, Richmond, TX 77406-7224 | 2020-10-16 |
1609473065 | Business Minds of Houston, LLC | Custodial Care Facility | 6102 Stonebury Ct, Sugar Land, TX 77479-5487 | 2020-10-07 |
1831704311 | Holistic Group LLC | Custodial Care Facility | 510 Cassia Way, Arlington, TX 76002-4520 | 2020-09-11 |
1619581170 | Unconditional Love Adult Family Homes | Custodial Care Facility | 3906 Waterproof, Killeen, TX 76549-4404 | 2020-09-02 |
1871105924 | Beezway Inc | Custodial Care Facility | 6100 Verandas Cir Apt 837, Fort Worth, TX 76132-4166 | 2020-08-20 |
1972112266 | Texas Pro Homecare Inc. | Custodial Care Facility | 2706 Seabiscuit Road, Celina, TX 75009 | 2020-07-23 |
1598374787 | Anapa Healthcare Services LLC | Custodial Care Facility | 22430 Rustic Meadow Ct, Katy, TX 77494-8247 | 2020-07-23 |
1336766336 | Living Faith Community Home, Inc. | Custodial Care Facility | 10735 Braes Forest Dr, Houston, TX 77071-1501 | 2020-06-25 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.