Healthcare Provider Details

I. General information

NPI: 1578148144
Provider Name (Legal Business Name): ANTHEM HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2021
Last Update Date: 03/15/2021
Certification Date: 03/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 N FOWLER AVE APT 133
CLOVIS CA
93611-0724
US

IV. Provider business mailing address

116 N FOWLER AVE APT 133
CLOVIS CA
93611-0724
US

V. Phone/Fax

Practice location:
  • Phone: 832-709-7530
  • Fax:
Mailing address:
  • Phone: 832-709-7530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS JOAN M ARREY
Title or Position: CEO
Credential:
Phone: 214-436-7921