=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881848943
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ANOINTED PAMPERING CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/15/2008
-----------------------------------------------------
Last Update Date | 11/10/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17623 COTTONWOOD TRAIL LN
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77095-4951
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-808-2518
-----------------------------------------------------
Fax | 281-345-7997
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17623 COTTONWOOD TRAIL LN
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77095-4951
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-808-2518
-----------------------------------------------------
Fax | 281-345-7997
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/ADMINISTRATOR
-----------------------------------------------------
Name | MRS. SARAH RUNNELS
-----------------------------------------------------
Credential | RN,
-----------------------------------------------------
Telephone | 281-808-2518
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251F00000X
-----------------------------------------------------
Taxonomy Name | Home Infusion Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------