Provider Demographics
NPI:1174857999
Name:ANCHOR HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:ANCHOR HOME HEALTH CARE, LLC
Other - Org Name:ALPINE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NEETI
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:419-576-0181
Mailing Address - Street 1:1001 SCHROCK RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1132
Mailing Address - Country:US
Mailing Address - Phone:614-505-3531
Mailing Address - Fax:
Practice Address - Street 1:1001 SCHROCK RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1132
Practice Address - Country:US
Practice Address - Phone:614-505-3531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-25
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH368159OtherMEDICARE ID
OH2989584Medicaid