Healthcare Provider Details

I. General information

NPI: 1558275115
Provider Name (Legal Business Name): CHOSEN1 SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7990 E SNYDER RD APT 5107
TUCSON AZ
85750-9009
US

IV. Provider business mailing address

7990 E SNYDER RD APT 5107
TUCSON AZ
85750-9009
US

V. Phone/Fax

Practice location:
  • Phone: 602-869-1494
  • Fax:
Mailing address:
  • Phone: 602-869-1494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ENOCH KUMI
Title or Position: OWNER
Credential:
Phone: 602-869-1494