Provider Demographics
NPI:1467619569
Name:ANNA HEALTHCARE, INC.
Entity Type:Organization
Organization Name:ANNA HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVIDSON
Authorized Official - Middle Name:D
Authorized Official - Last Name:YUH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-491-9301
Mailing Address - Street 1:15927 PEACH WALKER DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1665
Mailing Address - Country:US
Mailing Address - Phone:202-486-9496
Mailing Address - Fax:
Practice Address - Street 1:15927 PEACH WALKER DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1665
Practice Address - Country:US
Practice Address - Phone:202-486-9496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-18
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC251E00000X
385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC039159800Medicaid