Healthcare Provider Details

I. General information

NPI: 1275401192
Provider Name (Legal Business Name): ANOINTED ELDER CONCIERGE HOMEMAKERAND COMPANION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4620 15TH AVE S
ST PETERSBURG FL
33711-2326
US

IV. Provider business mailing address

1209 13TH AVE S
ST PETERSBURG FL
33705-2320
US

V. Phone/Fax

Practice location:
  • Phone: 727-520-2058
  • Fax:
Mailing address:
  • Phone: 727-520-2058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. DORIS L WARREN-HESTER
Title or Position: OWNER/PROVIDER
Credential:
Phone: 727-280-5732