Provider Demographics
NPI:1780839514
Name:PRO CARE BY ANA LLC
Entity Type:Organization
Organization Name:PRO CARE BY ANA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DRAGOMIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-205-0274
Mailing Address - Street 1:15907 N 87TH DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-3770
Mailing Address - Country:US
Mailing Address - Phone:623-205-0274
Mailing Address - Fax:
Practice Address - Street 1:15907 N 87TH DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-3770
Practice Address - Country:US
Practice Address - Phone:623-205-0274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health