Provider Demographics
NPI:1457657470
Name:AN'COR HOME HEALTH GROUP, INC
Entity Type:Organization
Organization Name:AN'COR HOME HEALTH GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CFO
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-235-8846
Mailing Address - Street 1:219 HILLSIDE DR W
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-3205
Mailing Address - Country:US
Mailing Address - Phone:817-235-8846
Mailing Address - Fax:
Practice Address - Street 1:219 HILLSIDE DR W
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-3205
Practice Address - Country:US
Practice Address - Phone:817-235-8846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health