Provider Demographics
NPI:1780279711
Name:ANEW HEALTHCARE OPERATIONS - EASTON, LLC
Entity type:Organization
Organization Name:ANEW HEALTHCARE OPERATIONS - EASTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HASTINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-399-3819
Mailing Address - Street 1:314 NW 11TH ST
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-3676
Mailing Address - Country:US
Mailing Address - Phone:417-399-3819
Mailing Address - Fax:
Practice Address - Street 1:515 DAWSON ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:KS
Practice Address - Zip Code:66020-9200
Practice Address - Country:US
Practice Address - Phone:913-773-5517
Practice Address - Fax:913-773-5562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility