Provider Demographics
NPI:1033643762
Name:ANDERSON CARES HCS INC
Entity Type:Organization
Organization Name:ANDERSON CARES HCS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:POLK-ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-697-8029
Mailing Address - Street 1:4041 EVERGREEN ST
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-3969
Mailing Address - Country:US
Mailing Address - Phone:214-697-8029
Mailing Address - Fax:
Practice Address - Street 1:4041 EVERGREEN ST
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-3969
Practice Address - Country:US
Practice Address - Phone:214-697-8029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health