Provider Demographics
NPI:1700948734
Name:ANOINTED CAREGIVERS, LLC
Entity Type:Organization
Organization Name:ANOINTED CAREGIVERS, LLC
Other - Org Name:ANOINTED CAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:IFEANYI
Authorized Official - Middle Name:
Authorized Official - Last Name:EHIOBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-263-5500
Mailing Address - Street 1:838 S CARRIER PARKWAY
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-1517
Mailing Address - Country:US
Mailing Address - Phone:972-263-5500
Mailing Address - Fax:972-263-5501
Practice Address - Street 1:838 S CARRIER PARKWAY
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-1517
Practice Address - Country:US
Practice Address - Phone:972-263-5500
Practice Address - Fax:972-263-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008950251E00000X, 251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX451768Medicare Oscar/Certification