Provider Demographics
NPI:1982015145
Name:ANN'S HOUSE, INC.
Entity Type:Organization
Organization Name:ANN'S HOUSE, INC.
Other - Org Name:ANN'S HOUSE - OAKWOOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN-MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIMPLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-206-1653
Mailing Address - Street 1:6240 BRISTOL LN
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-1230
Mailing Address - Country:US
Mailing Address - Phone:352-556-5357
Mailing Address - Fax:
Practice Address - Street 1:4407 MILLWOOD RD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-3639
Practice Address - Country:US
Practice Address - Phone:352-556-5357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-09
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11242310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL687094501Medicaid