1740538495 NPI number — ANOINTED HANDS HOME HEALTH CARE SERVICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740538495 NPI number — ANOINTED HANDS HOME HEALTH CARE SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANOINTED HANDS HOME HEALTH CARE SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740538495
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/28/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
433 KITTY HAWK RD BLDG 2
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
UNIVERSAL CTY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78148-3357
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-566-1769
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
433 KITTY HAWK
Provider Second Line Business Practice Location Address:
BLDG 2 SUITE 220
Provider Business Practice Location Address City Name:
UNIVERSAL
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78148-9998
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-566-1769
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/28/2012

Additional Information

Authorized Official

Authorized Official Last Name:
JEFFERSON
Authorized Official First Name:
JABRE
Authorized Official Middle Name:
D
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
210-287-7554

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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