Provider Demographics
NPI:1346011301
Name:ANEW LIVING LLC
Entity Type:Organization
Organization Name:ANEW LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GILKES
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:817-938-2762
Mailing Address - Street 1:1311 N TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-1416
Mailing Address - Country:US
Mailing Address - Phone:817-938-2762
Mailing Address - Fax:
Practice Address - Street 1:4040 SHADY HOLLOW LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75233-3601
Practice Address - Country:US
Practice Address - Phone:817-938-2762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GILKES MGT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty