Provider Demographics
NPI:1932194651
Name:ANLA HEALTHCARE CORPORATION
Entity Type:Organization
Organization Name:ANLA HEALTHCARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:LEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-690-4698
Mailing Address - Street 1:3704 ARAPAHO RD
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-4311
Mailing Address - Country:US
Mailing Address - Phone:972-690-4698
Mailing Address - Fax:972-620-0601
Practice Address - Street 1:3704 ARAPAHO RD
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-4311
Practice Address - Country:US
Practice Address - Phone:972-690-4698
Practice Address - Fax:972-620-0601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
530322OtherBCBS
TX43869OtherAMERIGROUP
=========OtherAMERICAN CARE SOURCE
530322OtherBCBS
TX0659990001Medicare ID - Type Unspecified