Provider Demographics
NPI:1467770297
Name:ANOINTED HEALTH CARE SERVICES, LLC
Entity Type:Organization
Organization Name:ANOINTED HEALTH CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:BOATNER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:225-778-1540
Mailing Address - Street 1:12841 PLANK ROAD
Mailing Address - Street 2:SUITE C
Mailing Address - City:BAKER
Mailing Address - State:LA
Mailing Address - Zip Code:70714
Mailing Address - Country:US
Mailing Address - Phone:225-778-1540
Mailing Address - Fax:225-778-0350
Practice Address - Street 1:12841 PLANK RD
Practice Address - Street 2:SUITE C
Practice Address - City:BAKER
Practice Address - State:LA
Practice Address - Zip Code:70714-4908
Practice Address - Country:US
Practice Address - Phone:225-778-1540
Practice Address - Fax:225-778-0350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LASIL 20175251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1884995Medicaid