Provider Demographics
NPI:1851746945
Name:ANC CORPORATION
Entity Type:Organization
Organization Name:ANC CORPORATION
Other - Org Name:ELITE HEALTH CARE SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ISIDRO JOJIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:AQUINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-741-5814
Mailing Address - Street 1:7484 UNIVERSITY AVE
Mailing Address - Street 2:STE. 250
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-6063
Mailing Address - Country:US
Mailing Address - Phone:619-741-5814
Mailing Address - Fax:619-741-5816
Practice Address - Street 1:7484 UNIVERSITY AVE
Practice Address - Street 2:STE. 250
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-6063
Practice Address - Country:US
Practice Address - Phone:619-741-5814
Practice Address - Fax:619-741-5816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-26
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based