MEDICARE: ANOINTED HANDS HOME HEALTH AND TRAINING CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1225980774
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANOINTED HANDS HOME HEALTH AND TRAINING CENTER LLC

Provider Business Mailing Address
First Line	:	560 W BROWN RD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85201-3221
Country	:	US
Telephone Number	:	317-496-7696
Fax Number	:

Provider Business Practice Location Address
First Line	:	560 W BROWN RD
Second Line	:	3001-366
City	:	MESA
State	:	AZ
Zip	:	85201-3221
Country	:	US
Telephone Number	:	317-496-7696
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LASHAWN R WILLIS
Credential	:
Telephone Number	:	317-496-7696

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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