Provider Demographics
NPI:1154447100
Name:ANKOD INC
Entity Type:Organization
Organization Name:ANKOD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:OCCENAD
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MS, NHA
Authorized Official - Phone:954-776-4110
Mailing Address - Street 1:PO BOX 25511
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33320-5511
Mailing Address - Country:US
Mailing Address - Phone:954-776-4110
Mailing Address - Fax:954-776-4149
Practice Address - Street 1:4960 N PINE ISLAND RD
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33351-5314
Practice Address - Country:US
Practice Address - Phone:954-776-4110
Practice Address - Fax:954-776-4149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299991447251E00000X
FLHHA299993097251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL650966500Medicaid
FL684715300OtherMEDICAID WAIVER
FL230244OtherHOME MAKER & COMPANION SERVICES
FL299993097OtherHOME HEALTH AGENCY
FL685145296OtherMEDICAID WAIVER
FL687960800OtherMEDICAID WAIVER
FL299991447OtherHOME HEALTH AGENCY
FL650966500Medicaid
FL684715300OtherMEDICAID WAIVER