Provider Demographics
NPI:1669004560
Name:ANOD CARE SERVICES,INC
Entity Type:Organization
Organization Name:ANOD CARE SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HURRE
Authorized Official - Middle Name:R
Authorized Official - Last Name:KOJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-486-1049
Mailing Address - Street 1:4742 N 24TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-9107
Mailing Address - Country:US
Mailing Address - Phone:952-486-1049
Mailing Address - Fax:
Practice Address - Street 1:4742 N 24TH ST STE 300
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-9107
Practice Address - Country:US
Practice Address - Phone:952-486-1049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No374700000XNursing Service Related ProvidersTechnicianGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty