Healthcare Provider Details

I. General information

NPI: 1700552106
Provider Name (Legal Business Name): ANCHOR CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2021
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 COURTYARD DR
HILLSBOROUGH NJ
08844-4258
US

IV. Provider business mailing address

811 COURTYARD DR
HILLSBOROUGH NJ
08844-4258
US

V. Phone/Fax

Practice location:
  • Phone: 469-257-3500
  • Fax:
Mailing address:
  • Phone: 469-257-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ADETUTU OGUNMEFUN
Title or Position: DIRECTOR
Credential:
Phone: 469-257-3500