Provider Demographics
NPI:1629534573
Name:AN ELDERLY CARE, INC
Entity Type:Organization
Organization Name:AN ELDERLY CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AGNES
Authorized Official - Middle Name:AGUIRRE
Authorized Official - Last Name:BURWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-778-8331
Mailing Address - Street 1:14127 CAPRI DR STE 3
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1534
Mailing Address - Country:US
Mailing Address - Phone:408-778-8331
Mailing Address - Fax:408-540-7646
Practice Address - Street 1:14127 CAPRI DR STE 3
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1534
Practice Address - Country:US
Practice Address - Phone:408-778-8331
Practice Address - Fax:408-540-7646
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AN ELDERLY CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-15
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care