Provider Demographics
NPI:1518061225
Name:ANNOINTED HOME CARE INC
Entity Type:Organization
Organization Name:ANNOINTED HOME CARE INC
Other - Org Name:ALLIED NURSING CARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURY
Authorized Official - Prefix:
Authorized Official - First Name:LAZON
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-461-5385
Mailing Address - Street 1:1175 BALDWIN AVE
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48340-2709
Mailing Address - Country:US
Mailing Address - Phone:248-443-5700
Mailing Address - Fax:
Practice Address - Street 1:1175 BALDWIN AVE
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48340-2709
Practice Address - Country:US
Practice Address - Phone:248-443-5700
Practice Address - Fax:248-443-5740
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-12
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI237281251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237281Medicare Oscar/Certification