Provider Demographics
NPI:1093590606
Name:ANUERA HOMECARE LLC
Entity Type:Organization
Organization Name:ANUERA HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GIFTY
Authorized Official - Middle Name:
Authorized Official - Last Name:AMADU
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:443-204-7286
Mailing Address - Street 1:6434 KARENSTONE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-2700
Mailing Address - Country:US
Mailing Address - Phone:443-204-7286
Mailing Address - Fax:
Practice Address - Street 1:6434 KARENSTONE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-2700
Practice Address - Country:US
Practice Address - Phone:443-204-7286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care