Provider Demographics
NPI:1851074256
Name:ANAYA GROUP LLC
Entity Type:Organization
Organization Name:ANAYA GROUP LLC
Other - Org Name:SENIOR HELPERS OF GRAPEVINE LAKE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-792-5232
Mailing Address - Street 1:1723 E SOUTHLAKE BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-6552
Mailing Address - Country:US
Mailing Address - Phone:916-792-5232
Mailing Address - Fax:
Practice Address - Street 1:1723 E SOUTHLAKE BLVD STE 140
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-6552
Practice Address - Country:US
Practice Address - Phone:916-792-5232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care