Healthcare Provider Details

I. General information

NPI: 1639788524
Provider Name (Legal Business Name): ANEW HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2020
Last Update Date: 07/27/2020
Certification Date: 07/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 E WALNUT ST
NORTONVILLE KS
66060-4008
US

IV. Provider business mailing address

314 NW 11TH ST
BLUE SPRINGS MO
64015-3676
US

V. Phone/Fax

Practice location:
  • Phone: 913-886-6400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK HASTINGS
Title or Position: OWNER
Credential:
Phone: 417-399-3819