Provider Demographics
NPI:1437841657
Name:ANIS HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:ANIS HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GAROUSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-220-8012
Mailing Address - Street 1:9491 OAK FALLS CT
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-4143
Mailing Address - Country:US
Mailing Address - Phone:703-220-8012
Mailing Address - Fax:
Practice Address - Street 1:9491 OAK FALLS CT
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:VA
Practice Address - Zip Code:22066-4143
Practice Address - Country:US
Practice Address - Phone:703-220-8012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health