=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154263267
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | YOUR CHOICE SELECTION LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/07/2026
-----------------------------------------------------
Last Update Date | 04/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3537 BOXELDER WAY
-----------------------------------------------------
City | MURFREESBORO
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37128-3989
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-930-9731
-----------------------------------------------------
Fax | 615-930-9731
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3537 BOXELDER WAY
-----------------------------------------------------
City | MURFREESBORO
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37128-3989
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-930-9731
-----------------------------------------------------
Fax | 615-930-9731
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SARENA SANKARA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 615-930-9731
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3104A0625X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility (Mental Illness)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------