Healthcare Provider Details

I. General information

NPI: 1750212767
Provider Name (Legal Business Name): ANCHOR HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1242 WILDCLIFF PKWY NE
ATLANTA GA
30329-3475
US

IV. Provider business mailing address

1242 WILDCLIFF PKWY NE
ATLANTA GA
30329-3475
US

V. Phone/Fax

Practice location:
  • Phone: 680-223-9876
  • Fax: 229-210-2041
Mailing address:
  • Phone: 680-223-9876
  • Fax: 229-210-2041

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: HECTOR DIAZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 680-223-9876