MEDICARE: ANOINTED COMPANION STAFFING 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	253Z00000X	In Home Supportive Care Agency	016368	TX

General Provider Information

NPI Number	:	1275933863
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANOINTED COMPANION STAFFING LLC

Provider Business Mailing Address
First Line	:	1339 HUNTERS PLANE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78245-2952
Country	:	US
Telephone Number	:	210-598-0269
Fax Number	:	872-619-8847

Provider Business Practice Location Address
First Line	:	1339 HUNTERS PLANE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78245-2952
Country	:	US
Telephone Number	:	210-598-0269
Fax Number	:	872-619-8847

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. KAPESTRIAL SANDERS
Credential	:
Telephone Number	:	210-598-0269

Provider Enumeration Date	:	09/02/2014
Last Update Date	:	09/02/2014

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