MEDICARE: CHOSEN HOSPICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1992676787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOSEN HOSPICE LLC

Provider Business Mailing Address
First Line	:	2140 MCGEE RD STE A900
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-2980
Country	:	US
Telephone Number	:	404-905-7387
Fax Number	:	404-905-9219

Provider Business Practice Location Address
First Line	:	2140 MCGEE RD STE A900
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-2980
Country	:	US
Telephone Number	:	404-905-7387
Fax Number	:	404-905-9219

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANISSA D HEMINGWAY
Credential	:
Telephone Number	:	770-900-4876

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	06/03/2026

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Directions to “CHOSEN HOSPICE LLC ” Practice Location

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