Provider Demographics
NPI:1679188056
Name:ANCHOR HOME CARE, LLC
Entity Type:Organization
Organization Name:ANCHOR HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-218-9494
Mailing Address - Street 1:50 LAKEFRONT BOULEVARD SUITE 220
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202-4301
Mailing Address - Country:US
Mailing Address - Phone:716-218-9494
Mailing Address - Fax:716-219-5088
Practice Address - Street 1:50 LAKEFRONT BOULEVARD SUITE 200
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-4301
Practice Address - Country:US
Practice Address - Phone:716-218-9494
Practice Address - Fax:716-219-5088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health