Healthcare Provider Details

I. General information

NPI: 1902567647
Provider Name (Legal Business Name): CHOSEN HOSPICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14245 SAINT FRANCIS BLVD STE 103
RAMSEY MN
55303-6137
US

IV. Provider business mailing address

14245 SAINT FRANCIS BLVD STE 103
RAMSEY MN
55303-6137
US

V. Phone/Fax

Practice location:
  • Phone: 651-615-2273
  • Fax: 612-435-4879
Mailing address:
  • Phone: 651-615-2273
  • Fax: 612-435-4879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: FRANKLIN ANGWENYI
Title or Position: PRESIDENT
Credential:
Phone: 612-297-0109