Provider Demographics
NPI:1811142847
Name:ANSUZ SENIOR CARE, INC.
Entity type:Organization
Organization Name:ANSUZ SENIOR CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:R.
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:LEWELLYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-463-0388
Mailing Address - Street 1:PO BOX 334
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68902-0334
Mailing Address - Country:US
Mailing Address - Phone:402-463-0388
Mailing Address - Fax:
Practice Address - Street 1:308 W 14TH ST
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-3112
Practice Address - Country:US
Practice Address - Phone:402-463-0388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies