Provider Demographics
NPI:1114651742
Name:ANEW HEALTHCARE OPERATIONS - PLEASANTON, LLC
Entity Type:Organization
Organization Name:ANEW HEALTHCARE OPERATIONS - PLEASANTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HASTINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-399-3819
Mailing Address - Street 1:314 NW 11TH ST
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-3676
Mailing Address - Country:US
Mailing Address - Phone:417-399-3819
Mailing Address - Fax:
Practice Address - Street 1:706 W 15TH ST
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:KS
Practice Address - Zip Code:66075-4042
Practice Address - Country:US
Practice Address - Phone:913-352-6658
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility