Provider Demographics
NPI:1275806952
Name:ANOINTED HANDS HOME CARE
Entity Type:Organization
Organization Name:ANOINTED HANDS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ELDRIDGE
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:708-537-4602
Mailing Address - Street 1:20109 AEGINA DR
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA FIELDS
Mailing Address - State:IL
Mailing Address - Zip Code:60461-1458
Mailing Address - Country:US
Mailing Address - Phone:877-240-4543
Mailing Address - Fax:
Practice Address - Street 1:20109 AEGINA DR
Practice Address - Street 2:
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1458
Practice Address - Country:US
Practice Address - Phone:877-240-4543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-11
Last Update Date:2012-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health