Provider Demographics
NPI:1649820903
Name:HELEN C ANANTI
Entity type:Organization
Organization Name:HELEN C ANANTI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ANANTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:984-444-1968
Mailing Address - Street 1:7401 THE PLZ STE C
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-1925
Mailing Address - Country:US
Mailing Address - Phone:704-526-0426
Mailing Address - Fax:704-733-9771
Practice Address - Street 1:7401 THE PLZ STE C
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-1925
Practice Address - Country:US
Practice Address - Phone:704-526-0426
Practice Address - Fax:704-733-9771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-18
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies