Provider Demographics
NPI:1740630524
Name:ANAIAH HEALTHCARE LLC
Entity type:Organization
Organization Name:ANAIAH HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ALT ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:FERNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:956-369-5225
Mailing Address - Street 1:1401 E RIDGE RD
Mailing Address - Street 2:SUITE F2
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1524
Mailing Address - Country:US
Mailing Address - Phone:956-627-4922
Mailing Address - Fax:956-627-4936
Practice Address - Street 1:1401 E RIDGE RD
Practice Address - Street 2:SUITE F2
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1524
Practice Address - Country:US
Practice Address - Phone:956-627-4922
Practice Address - Fax:956-627-4936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based