Provider Demographics
NPI:1831370980
Name:ANITA'S HOMES LLC
Entity type:Organization
Organization Name:ANITA'S HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:ANITA
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-922-9154
Mailing Address - Street 1:PO BOX 381655
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35238-1655
Mailing Address - Country:US
Mailing Address - Phone:256-922-9154
Mailing Address - Fax:256-971-9508
Practice Address - Street 1:6301 RIME VILLAGE DR NW
Practice Address - Street 2:APT 1102
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-4463
Practice Address - Country:US
Practice Address - Phone:256-922-9154
Practice Address - Fax:256-971-9508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health