Healthcare Provider Details

I. General information

NPI: 1174454862
Provider Name (Legal Business Name): ANU HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

439 CONGAREE RD STE 24
GREENVILLE SC
29607-2868
US

IV. Provider business mailing address

117 VERDANA CT
SIMPSONVILLE SC
29680-7918
US

V. Phone/Fax

Practice location:
  • Phone: 864-326-5936
  • Fax:
Mailing address:
  • Phone: 631-338-7307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: SAMANTHA FEDORKA
Title or Position: OWNER
Credential: RN
Phone: 631-338-7307