Provider Demographics
NPI:1548018591
Name:ANON HEALTH LLC
Entity type:Organization
Organization Name:ANON HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:HEZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIMUKUSI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:201-923-5723
Mailing Address - Street 1:324 CHARLIE JOSEPH DR
Mailing Address - Street 2:
Mailing Address - City:VAN ALSTYNE
Mailing Address - State:TX
Mailing Address - Zip Code:75495-3091
Mailing Address - Country:US
Mailing Address - Phone:201-923-5723
Mailing Address - Fax:
Practice Address - Street 1:324 CHARLIE JOSEPH DR
Practice Address - Street 2:
Practice Address - City:VAN ALSTYNE
Practice Address - State:TX
Practice Address - Zip Code:75495-3091
Practice Address - Country:US
Practice Address - Phone:201-923-5723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care