MEDICARE: ANCHOR PULMONARY REHAB AND HOME HEALTHCARE SERVICES,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	251E00000X	Home Health Agency	012578	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477580090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANCHOR PULMONARY REHAB AND HOME HEALTHCARE SERVICES,LLC

Provider Business Mailing Address
First Line	:	2001 FEATHER LN
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75077-7631
Country	:	US
Telephone Number	:	972-317-7331
Fax Number	:	972-317-3296

Provider Business Practice Location Address
First Line	:	2001 FEATHER LN
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75077-7631
Country	:	US
Telephone Number	:	972-317-7331
Fax Number	:	972-317-3296

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. JOEL OSITA EKPE
Credential	:
Telephone Number	:	972-317-7331

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	10/22/2014

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