=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356438352
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ANCHOR INNE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/10/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6816 W LAKE RD
-----------------------------------------------------
City | FAIRVIEW
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16415-1645
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-474-1977
-----------------------------------------------------
Fax | 814-474-9797
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6816 W LAKE RD
-----------------------------------------------------
City | FAIRVIEW
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16415-1645
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-474-1977
-----------------------------------------------------
Fax | 814-474-9797
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | SHERRY HILL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 814-474-1977
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number | 401820
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 311ZA0620X
-----------------------------------------------------
Taxonomy Name | Adult Care Home Facility
-----------------------------------------------------
License Number | 401820
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------