Healthcare Provider Details

I. General information

NPI: 1982015145
Provider Name (Legal Business Name): ANN'S HOUSE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2014
Last Update Date: 01/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4407 MILLWOOD RD
SPRING HILL FL
34608-3639
US

IV. Provider business mailing address

6240 BRISTOL LN
SPRING HILL FL
34609-1230
US

V. Phone/Fax

Practice location:
  • Phone: 352-556-5357
  • Fax:
Mailing address:
  • Phone: 352-556-5357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number11242
License Number StateFL

VIII. Authorized Official

Name: ANN-MARIE RIMPLE
Title or Position: ADMINISTRATOR
Credential:
Phone: 352-206-1653