Provider Demographics
NPI:1477088037
Name:ANITA HOME HEALTH, INC.
Entity Type:Organization
Organization Name:ANITA HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL/PRESIDENT/CEO (
Authorized Official - Prefix:MR
Authorized Official - First Name:OSAMAMWODE
Authorized Official - Middle Name:SUNDAY
Authorized Official - Last Name:OGBEIWI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:714-709-3154
Mailing Address - Street 1:11100 VALLEY BLVD, SUITE 342
Mailing Address - Street 2:SUITE 342
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-2500
Mailing Address - Country:US
Mailing Address - Phone:626-532-8957
Mailing Address - Fax:626-532-8956
Practice Address - Street 1:201 S ANITA DR
Practice Address - Street 2:SUITE 104
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3316
Practice Address - Country:US
Practice Address - Phone:818-370-4004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health