Healthcare Provider Details

I. General information

NPI: 1811826704
Provider Name (Legal Business Name): CHOSEN HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 W HAMPTON AVE FL 1
SUMTER SC
29150-4912
US

IV. Provider business mailing address

208 W HAMPTON AVE FL 1
SUMTER SC
29150-4912
US

V. Phone/Fax

Practice location:
  • Phone: 800-213-0021
  • Fax:
Mailing address:
  • Phone: 800-213-0021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: MRS. QUONETTA GREEN
Title or Position: OWNER
Credential:
Phone: 803-795-0580