Provider Demographics
NPI:1174665293
Name:ANCHOR HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:ANCHOR HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RUMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:772-463-6016
Mailing Address - Street 1:3725 SE OCEAN BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SEWALLS POINT
Mailing Address - State:FL
Mailing Address - Zip Code:34996-6715
Mailing Address - Country:US
Mailing Address - Phone:772-463-6016
Mailing Address - Fax:772-463-6018
Practice Address - Street 1:3725 SE OCEAN BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:SEWALLS POINT
Practice Address - State:FL
Practice Address - Zip Code:34996-6715
Practice Address - Country:US
Practice Address - Phone:772-463-6016
Practice Address - Fax:772-463-6018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL107747Medicare ID - Type UnspecifiedHOME HEALTH PROVIDER NO