MEDICARE: ANNS HOUSE INC.

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	310400000X	Assisted Living Facility	AL10396	FL

General Provider Information

NPI Number	:	1316062144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNS HOUSE INC.

Provider Business Mailing Address
First Line	:	6240 BRISTOL LN
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-1230
Country	:	US
Telephone Number	:	352-666-9333
Fax Number	:	352-666-4798

Provider Business Practice Location Address
First Line	:	6240 BRISTOL LANE
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-1230
Country	:	US
Telephone Number	:	352-666-9333
Fax Number	:	352-666-4798

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. ANN-MARIE T RIMPLE
Credential	:	RN, BSN, BA
Telephone Number	:	352-666-9333

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	08/22/2020

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