MEDICARE: ANVIENT HOME HEALTHCARE SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251F00000X	Home Infusion Agency
3	253Z00000X	In Home Supportive Care Agency
4	385H00000X	Respite Care
5	251J00000X	Nursing Care Agency

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	:	1538627690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANVIENT HOME HEALTHCARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	4619 FOREST PINES DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-2676
Country	:	US
Telephone Number	:	240-548-8814
Fax Number	:

Provider Business Practice Location Address
First Line	:	4619 FOREST PINES DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-2676
Country	:	US
Telephone Number	:	240-355-2249
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. PATRICIA ANYANWU
Credential	:	MPA
Telephone Number	:	240-355-2249

Provider Enumeration Date	:	03/07/2019
Last Update Date	:	06/11/2019

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Directions to “ANVIENT HOME HEALTHCARE SERVICES, LLC ” Practice Location

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