=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366252819
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ANOINTING HOME CARE SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/08/2025
-----------------------------------------------------
Last Update Date | 01/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1642 S. BROADWAY ST.
-----------------------------------------------------
City | DAYTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45417
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-849-3227
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1811 CORETTA CT
-----------------------------------------------------
City | DAYTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45417-4522
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-849-3227
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. ASIA EDWARDS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 877-849-3227
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------