Provider Demographics
NPI:1609330570
Name:ANKOR CARE CONSULTS LLC.
Entity Type:Organization
Organization Name:ANKOR CARE CONSULTS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ENIOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNMEFUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-925-9267
Mailing Address - Street 1:48 PLANTATION RD
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08889-3207
Mailing Address - Country:US
Mailing Address - Phone:551-276-8036
Mailing Address - Fax:908-264-5294
Practice Address - Street 1:48 PLANTATION RD
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE STATION
Practice Address - State:NJ
Practice Address - Zip Code:08889-3207
Practice Address - Country:US
Practice Address - Phone:551-276-8036
Practice Address - Fax:908-364-5294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-24
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health