Provider Demographics
NPI:1598374787
Name:ANAPA HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:ANAPA HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MANKA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-550-8864
Mailing Address - Street 1:22430 RUSTIC MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8247
Mailing Address - Country:US
Mailing Address - Phone:484-550-8864
Mailing Address - Fax:
Practice Address - Street 1:22430 RUSTIC MEADOW CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8247
Practice Address - Country:US
Practice Address - Phone:484-550-8864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home