Provider Demographics
NPI:1669471595
Name:ANREX HOME CARE INC.,
Entity type:Organization
Organization Name:ANREX HOME CARE INC.,
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:ABITURAB 'ABI'
Authorized Official - Middle Name:
Authorized Official - Last Name:BOXWALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-825-4060
Mailing Address - Street 1:7820 GRAPHIC DR STE 201
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-6278
Mailing Address - Country:US
Mailing Address - Phone:773-685-9025
Mailing Address - Fax:773-685-9066
Practice Address - Street 1:3449 RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-1622
Practice Address - Country:US
Practice Address - Phone:219-836-8080
Practice Address - Fax:219-836-8181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-21
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05-003971-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN157561Medicare ID - Type Unspecified