Provider Demographics
NPI:1235294760
Name:ANDERSONS CARE SERVICES LLC
Entity Type:Organization
Organization Name:ANDERSONS CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANGULAR
Authorized Official - Middle Name:UVONNE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:318-752-9891
Mailing Address - Street 1:4638 VOSS DR
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-2750
Mailing Address - Country:US
Mailing Address - Phone:318-752-9891
Mailing Address - Fax:318-742-7465
Practice Address - Street 1:4638 VOSS DR
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-2750
Practice Address - Country:US
Practice Address - Phone:318-752-9891
Practice Address - Fax:318-742-7465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1349038Medicaid