Provider Demographics
NPI:1477580090
Name:ANCHOR PULMONARY REHAB AND HOME HEALTHCARE SERVICES,LLC
Entity Type:Organization
Organization Name:ANCHOR PULMONARY REHAB AND HOME HEALTHCARE SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:OSITA
Authorized Official - Last Name:EKPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-317-7331
Mailing Address - Street 1:2001 FEATHER LN
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-7631
Mailing Address - Country:US
Mailing Address - Phone:972-317-7331
Mailing Address - Fax:972-317-3296
Practice Address - Street 1:2001 FEATHER LN
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75077-7631
Practice Address - Country:US
Practice Address - Phone:972-317-7331
Practice Address - Fax:972-317-3296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012578251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX012578Medicaid
TX012578Medicaid