Provider Demographics
NPI:1639502719
Name:LA ANCHOR HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:LA ANCHOR HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AKPAN-OKOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-251-3311
Mailing Address - Street 1:7211 REGENCY SQUARE BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3138
Mailing Address - Country:US
Mailing Address - Phone:832-251-3311
Mailing Address - Fax:832-251-3312
Practice Address - Street 1:7211 REGENCY SQUARE BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3138
Practice Address - Country:US
Practice Address - Phone:832-251-3311
Practice Address - Fax:832-251-3312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-13
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016817251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX308921101Medicaid
TX747487Medicare Oscar/Certification