Provider Demographics
NPI:1124207618
Name:ANSAH INC.
Entity Type:Organization
Organization Name:ANSAH INC.
Other - Org Name:ANSAH HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:ADUKWEI
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-377-9883
Mailing Address - Street 1:5054 NAVAJO DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1273
Mailing Address - Country:US
Mailing Address - Phone:972-377-9883
Mailing Address - Fax:972-377-9992
Practice Address - Street 1:9555 LEBANON RD
Practice Address - Street 2:SUITE 1001
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6086
Practice Address - Country:US
Practice Address - Phone:972-377-9883
Practice Address - Fax:972-377-9992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747347Medicare PIN