Provider Demographics
NPI:1629537394
Name:ANETHEALTH LLC
Entity Type:Organization
Organization Name:ANETHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUKWUDOLUE
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:602-618-1265
Mailing Address - Street 1:3330 E LYNX PL
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-5384
Mailing Address - Country:US
Mailing Address - Phone:602-618-1265
Mailing Address - Fax:
Practice Address - Street 1:3330 E LYNX PL
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-5384
Practice Address - Country:US
Practice Address - Phone:602-618-1265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-13
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health