Healthcare Provider Details

I. General information

NPI: 1821934522
Provider Name (Legal Business Name): ANDERSON FAMILY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2604 WILDFLOWER ST
MONROE LA
71203-5567
US

IV. Provider business mailing address

2604 WILDFLOWER ST
MONROE LA
71203-5567
US

V. Phone/Fax

Practice location:
  • Phone: 318-821-7363
  • Fax:
Mailing address:
  • Phone: 318-821-7363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: ALEXIS ANDERSON
Title or Position: OWNER
Credential:
Phone: 318-821-7363