Healthcare Provider Details

I. General information

NPI: 1518898642
Provider Name (Legal Business Name): CHOSEN FUNERAL HOME PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7451 OLD ALEXANDRIA FERRY RD
CLINTON MD
20735-1834
US

IV. Provider business mailing address

7451 OLD ALEXANDRIA FERRY RD
CLINTON MD
20735-1834
US

V. Phone/Fax

Practice location:
  • Phone: 301-452-1822
  • Fax:
Mailing address:
  • Phone: 301-452-1822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176P00000X
TaxonomyFuneral Director
License Number
License Number State

VIII. Authorized Official

Name: DENZEL CHAMBERS
Title or Position: CEO/OWNER
Credential:
Phone: 202-436-4988