MEDICARE: ANCHOR PEDIATRIC CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1033058078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANCHOR PEDIATRIC CARE LLC

Provider Business Mailing Address
First Line	:	1242 WILDCLIFF PKWY NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-3475
Country	:	US
Telephone Number	:	680-223-9876
Fax Number	:

Provider Business Practice Location Address
First Line	:	1242 WILDCLIFF PKWY NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-3475
Country	:	US
Telephone Number	:	680-223-9876
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	HECTOR DIAZ
Credential	:
Telephone Number	:	680-223-9876

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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