Provider Demographics
NPI:1831521814
Name:HANSON SERVICES NO. 5, INC.
Entity type:Organization
Organization Name:HANSON SERVICES NO. 5, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:LEININGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-357-7243
Mailing Address - Street 1:3800 S TAMIAMI TRL
Mailing Address - Street 2:STE 213
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-6908
Mailing Address - Country:US
Mailing Address - Phone:941-792-8169
Mailing Address - Fax:941-330-1411
Practice Address - Street 1:3800 S TAMIAMI TRL
Practice Address - Street 2:STE 213
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-6908
Practice Address - Country:US
Practice Address - Phone:941-792-8169
Practice Address - Fax:941-330-1411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211159251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health