Healthcare Provider Details

I. General information

NPI: 1306644612
Provider Name (Legal Business Name): CHOSEN FROM THE HEART FAMILY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2025
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 BOYKIN LN
HAMPTON VA
23663-1009
US

IV. Provider business mailing address

28 BOYKIN LN
HAMPTON VA
23663-1009
US

V. Phone/Fax

Practice location:
  • Phone: 757-303-7434
  • Fax:
Mailing address:
  • Phone: 757-303-7434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: LATEYAH BROWER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 757-303-7434