Provider Demographics
NPI:1518644020
Name:ANSTECH HOME DIALYSIS LLC
Entity type:Organization
Organization Name:ANSTECH HOME DIALYSIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LOVETH
Authorized Official - Middle Name:D
Authorized Official - Last Name:IGBRU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-309-4935
Mailing Address - Street 1:4220 CARTWRIGHT RD STE 103
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5307
Mailing Address - Country:US
Mailing Address - Phone:346-309-4938
Mailing Address - Fax:832-804-9338
Practice Address - Street 1:4220 CARTWRIGHT RD STE 103
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5307
Practice Address - Country:US
Practice Address - Phone:346-309-4938
Practice Address - Fax:832-804-9338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care