Healthcare Provider Details

I. General information

NPI: 1982571600
Provider Name (Legal Business Name): ANCHOR OF PEACE HOME HEALTH CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1703 PEYCO DR N
ARLINGTON TX
76001-6701
US

IV. Provider business mailing address

1703 PEYCO DR N
ARLINGTON TX
76001-6701
US

V. Phone/Fax

Practice location:
  • Phone: 682-252-7455
  • Fax: 682-228-5834
Mailing address:
  • Phone: 682-252-7455
  • Fax: 682-228-5834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: ENDALINE ODOEMENE-UGWUIBE
Title or Position: ADMINISTRATOR
Credential:
Phone: 361-695-4037