Provider Demographics
NPI:1467839936
Name:ANX HOSPICE CARE NURSING INC.
Entity Type:Organization
Organization Name:ANX HOSPICE CARE NURSING INC.
Other - Org Name:ANX HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS ALLANDALE
Authorized Official - Middle Name:LAGROSAS
Authorized Official - Last Name:ROCAS
Authorized Official - Suffix:III
Authorized Official - Credentials:RN, BSN, CWCN
Authorized Official - Phone:650-991-1106
Mailing Address - Street 1:455 HICKEY BLVD STE 320
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2630
Mailing Address - Country:US
Mailing Address - Phone:650-991-1106
Mailing Address - Fax:
Practice Address - Street 1:455 HICKEY BLVD STE 320
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2630
Practice Address - Country:US
Practice Address - Phone:650-991-1106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-04
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based