Provider Demographics
NPI:1821195785
Name:ANOINTED HANDS HOSPICE CARE AT HOME INC
Entity Type:Organization
Organization Name:ANOINTED HANDS HOSPICE CARE AT HOME INC
Other - Org Name:ANOINTED HOSPICE CARE AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SELENA
Authorized Official - Middle Name:J
Authorized Official - Last Name:TULL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-979-8637
Mailing Address - Street 1:401 MOUNTAIN PL
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-1723
Mailing Address - Country:US
Mailing Address - Phone:972-979-8637
Mailing Address - Fax:
Practice Address - Street 1:3200 W PLEASANT RUN RD
Practice Address - Street 2:SUITE 220
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-1073
Practice Address - Country:US
Practice Address - Phone:972-979-6067
Practice Address - Fax:972-274-9481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008497251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX451750Medicare ID - Type UnspecifiedPROVIDER NUMBER