Provider Demographics
NPI:1073060745
Name:ANJAR CORPORATION
Entity Type:Organization
Organization Name:ANJAR CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALMSTED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-558-3142
Mailing Address - Street 1:3224 80TH AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-2833
Mailing Address - Country:US
Mailing Address - Phone:612-558-3142
Mailing Address - Fax:
Practice Address - Street 1:3224 80TH AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-2833
Practice Address - Country:US
Practice Address - Phone:612-558-3142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-09
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1081401-2-HCBS253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care