Provider Demographics
NPI:1700443215
Name:ANOINTED ELDER CONCIERGE H C SERVICES LLC
Entity Type:Organization
Organization Name:ANOINTED ELDER CONCIERGE H C SERVICES LLC
Other - Org Name:ANOINTED ELDER CONCIERGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:WARREN HESTER
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:727-520-2058
Mailing Address - Street 1:1127 22ND ST S STE B
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33712-2256
Mailing Address - Country:US
Mailing Address - Phone:727-280-5732
Mailing Address - Fax:727-235-0292
Practice Address - Street 1:1127 22ND ST S STE B
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-2256
Practice Address - Country:US
Practice Address - Phone:727-280-5732
Practice Address - Fax:727-235-0292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental DisabilitiesGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL102767600Medicaid
FL235886Medicaid
FL749784Medicaid