Provider Demographics
NPI:1740538495
Name:ANOINTED HANDS HOME HEALTH CARE SERVICES
Entity type:Organization
Organization Name:ANOINTED HANDS HOME HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JABRE
Authorized Official - Middle Name:D
Authorized Official - Last Name:JEFFERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-287-7554
Mailing Address - Street 1:433 KITTY HAWK RD BLDG 2
Mailing Address - Street 2:
Mailing Address - City:UNIVERSAL CTY
Mailing Address - State:TX
Mailing Address - Zip Code:78148-3357
Mailing Address - Country:US
Mailing Address - Phone:210-566-1769
Mailing Address - Fax:
Practice Address - Street 1:433 KITTY HAWK
Practice Address - Street 2:BLDG 2 SUITE 220
Practice Address - City:UNIVERSAL
Practice Address - State:TX
Practice Address - Zip Code:78148-9998
Practice Address - Country:US
Practice Address - Phone:210-566-1769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health