Provider Demographics
NPI:1760009690
Name:ANIAH HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:ANIAH HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KONE
Authorized Official - Suffix:
Authorized Official - Credentials:RN,MSN
Authorized Official - Phone:703-477-2947
Mailing Address - Street 1:8009 DAFFODIL CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-3422
Mailing Address - Country:US
Mailing Address - Phone:703-477-2947
Mailing Address - Fax:866-531-6484
Practice Address - Street 1:6701 DEMOCRACY BLVD STE 300
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-7500
Practice Address - Country:US
Practice Address - Phone:703-477-2947
Practice Address - Fax:866-531-6484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health