MEDICARE: ANOINTED HANDS HOME HEALTHCARE

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	251E00000X	Home Health Agency	010685	TX

General Provider Information

NPI Number	:	1376653147
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANOINTED HANDS HOME HEALTHCARE

Provider Business Mailing Address
First Line	:	1816 HIGH VISTA CT
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-4517
Country	:	US
Telephone Number	:	817-733-9737
Fax Number	:	817-457-8352

Provider Business Practice Location Address
First Line	:	1816 HIGH VISTA CT
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-4517
Country	:	US
Telephone Number	:	817-733-9737
Fax Number	:	817-457-8352

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. TANYA YVETTE WALKER
Credential	:
Telephone Number	:	817-733-9737

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/22/2020

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