Provider Demographics
NPI:1730653072
Name:ANOINTED PERSONAL HOME CARE SERVS
Entity Type:Organization
Organization Name:ANOINTED PERSONAL HOME CARE SERVS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TAMESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:833-622-4466
Mailing Address - Street 1:PO BOX 6266
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77805-6266
Mailing Address - Country:US
Mailing Address - Phone:833-622-4466
Mailing Address - Fax:979-200-2082
Practice Address - Street 1:407 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77801-3010
Practice Address - Country:US
Practice Address - Phone:833-622-4466
Practice Address - Fax:979-200-2082
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANOINTED PERSONAL HOME CARE SERVS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-21
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home