MEDICARE: ANEWPATH HOME CARE AGENCY 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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1407713597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANEWPATH HOME CARE AGENCY LLC

Provider Business Mailing Address
First Line	:	200 E WASHINGTON ST STE 133
Second Line	:
City	:	GREENWOOD
State	:	MS
Zip	:	38930-4434
Country	:	US
Telephone Number	:	205-746-4195
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 E WASHINGTON ST STE 133
Second Line	:
City	:	GREENWOOD
State	:	MS
Zip	:	38930-4434
Country	:	US
Telephone Number	:	205-746-4195
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	QUIRTRETHA HOGGAN
Credential	:
Telephone Number	:	205-746-4195

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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