Healthcare Provider Details

I. General information

NPI: 1134098882
Provider Name (Legal Business Name): CHOSEN CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2025
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 FLESTER LN
LAUREL MD
20707-6512
US

IV. Provider business mailing address

1017 FLESTER LN
LAUREL MD
20707-6512
US

V. Phone/Fax

Practice location:
  • Phone: 725-502-1061
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SONIA DEUGA NGAMENI
Title or Position: OWNER
Credential:
Phone: 725-502-1061